PHYSICIAN'S FOOTWEAR (NPI# 1326106139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326106139 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN'S FOOTWEAR |
| Practice Address |
63 Thomas Johnson Dr Suite C Frederick MD 21702-4384 |
| Practice Telephone | 3016960600 |
| Practice Fax Number | 3036968872 |
| Mailing Telephone | 3016960600 |
| Mailing Fax Number | 3016968872 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J. LEVINE (OWNER) |
| Authorized Official Telephone | 3016960600 |
| Authorized Official Credential | D.P.M., C.PED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 10835289 | MD | Suppliers |
| Street Address |
63 THOMAS JOHNSON DR SUITE C |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282371 | Michael Rebert Warner | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2005-11-21 |
| 1124494828 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2015-08-17 |
| 1316323793 | Hillary Ann Borsa | Registered Nurse | 63 Thomas Johnson Dr, Frederick, MD 21702-4384 | 2015-08-07 |
| 1295142388 | Rebecca Alyson Leonard | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2014-07-21 |
| 1619317419 | Sana Jahan Shamim | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2013-06-26 |
| 1427329077 | Amanda Morgan Freeman | Physician Assistant | 63 Thomas Johnson Dr, Suite E, Frederick, MD 21702-4384 | 2012-01-13 |
| 1588806616 | Jonathan Richard Van Meter | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2009-04-06 |
| 1063695005 | Warner & Vanmeter M.d.pa | Dermatology | 63 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4384 | 2007-12-13 |
| 1578742250 | Michael R. Warner Mdpa | Dermatology | 63 Thomas Johnson Dr, Suite B, Frederick, MD 21702-4384 | 2007-10-30 |
| 1699967869 | Jennifer Bell | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2007-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741727 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 172 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4402 | 2019-07-11 |
| 1477020402 | Advanced Spine Endoscopy and Pain Institute | Durable Medical Equipment & Medical Supplies | 915 Toll House Ave Ste 207, Frederick, MD 21701-5901 | 2018-10-29 |
| 1194259937 | Fulton Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 622 N Market St, Frederick, MD 21701-5245 | 2017-04-19 |
| 1407103559 | Global Health Resources, Inc. | Durable Medical Equipment & Medical Supplies | 6814 Blentlinger Rd, Frederick, MD 21702-3603 | 2012-08-08 |
| 1982976577 | Asthma Management Group Resources | Durable Medical Equipment & Medical Supplies | 7215 Corporate Ct, Suite 2a, Frederick, MD 21703-8386 | 2012-01-30 |
| 1861799249 | First Durable Medical Supply | Durable Medical Equipment & Medical Supplies | 250 W Patrick St, Suite 1, Frederick, MD 21701-6945 | 2011-02-20 |
| 1912230855 | Specialized Orthotic Systems | Durable Medical Equipment & Medical Supplies | 4812 Crane Ct, Frederick, CO 80504-5552 | 2009-09-10 |
| 1558508457 | Pt Medical, LLC | Durable Medical Equipment & Medical Supplies | 1805 Derrs Ct, Frederick, MD 21701-2519 | 2009-01-14 |
| 1538334222 | Adam Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7215 Corporate Ct Ste 201, Frederick, MD 21703-8490 | 2008-04-24 |
| 1649454224 | Manual Daniel Debarros | Durable Medical Equipment & Medical Supplies | 6003 Elmer Derr Rd, Frederick, MD 21703-7417 | 2007-12-19 |
| Find all providers in FREDERICK | ||||
Please comment or provide details below to improve the information on PHYSICIAN'S FOOTWEAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.