RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC (NPI# 1356633754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356633754 |
| Entity Type | Organization |
| Organization Name | RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC |
| Practice Address |
2100 Old Farm Dr Suite D Frederick MD 21702-9494 |
| Mailing Address |
Po Box 269 Frederick MD 21705-0269 |
| Practice Telephone | 3014186014 |
| Practice Fax Number | 3017979228 |
| Mailing Telephone | 3017978554 |
| Mailing Fax Number | 3017979228 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | DR. DANIEL DALE MICHAELS (MEMBER) |
| Authorized Official Telephone | 3017978554 |
| Authorized Official Credential | DPM, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508260118 | Reconstructive Foot & Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-4100 | 2014-10-13 |
| 1871655381 | Reconstructive Foot & Ankle Institute, LLC | Podiatrist | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-5852 | 2006-12-14 |
| Street Address |
2100 OLD FARM DR SUITE D |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306996913 | T. Gregory Hutton | Dentist | 2100 Old Farm Dr, Suite B, Frederick, MD 21702-9494 | 2007-01-12 |
| 1245610476 | Reconstructive Foot and Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-06-03 |
| 1316326978 | Reconstructive Foot and Ankle Institute, LLC | Clinic/Center | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-05-28 |
| 1073732210 | Richard Lee Rogers | Dentist | 2100 Old Farm Dr, Suite1f, Frederick, MD 21702-9494 | 2007-04-25 |
| 1467588970 | Robert Michael Skvorak | Dentist | 2100 Old Farm Dr, 1 E, Frederick, MD 21702 | 2007-02-26 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821483223 | Brian Tuminski | Podiatrist | 141 Thomas Johnson Dr Ste 170, Frederick, MD 21702 | 2015-04-02 |
| 1225165848 | Christine Kurkoski | Podiatrist | 1519 W Patrick St, Frederick, MD 21702-3724 | 2007-02-28 |
| 1801871322 | Lorna C Wolfe | Podiatrist | 182 Thomas Johnson Drive, Suite 203, Frederick, MD 21702 | 2005-12-07 |
| 1255324539 | Scott M Henry | Podiatrist | 7101 Guilford Dr #204, Suite 204, Frederick, MD 21704-5930 | 2005-08-23 |
| 1558737254 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 604 Solarex Ct, Suite 103, Frederick, MD 21703-7005 | 2015-08-17 |
| 1124494828 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2015-08-17 |
| 1780079764 | Chris Y Sohn | Podiatrist | 604 Solarex Ct Unit 103, Frederick, MD 21703-8678 | 2015-04-06 |
| 1609216431 | Sraddha Khanal Lamichhane | Podiatrist | 141 Thomas Johnson Dr, 170, Frederick, MD 21702-4502 | 2013-06-25 |
| 1770764938 | Kenneth J. Benjamin, Dpm, Pa | Podiatrist | 198 Thomas Johnson Drive, Suite 3, Frederick, MD 21702-4448 | 2007-11-16 |
| 1164601340 | Lorna C. Wolfe Dpm Pa | Podiatrist | 182 Thomas Johnson Dr, Suite 203, Frederick, MD 21702-4407 | 2007-10-24 |
| Find all providers in FREDERICK | ||||
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| 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.