DR. LAURA ASHLEY MICHETTI (NPI# 1376073171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376073171 |
| Entity Type | Individual |
| Full Name | DR. LAURA ASHLEY MICHETTI |
| Credential | DPM |
| Practice Address |
10264 Southern Maryland Blvd Ste 105 Dunkirk MD 20754-3037 |
| Mailing Address |
10 N Greene St Baltimore MD 21201-1524 |
| Practice Telephone | 4102573558 |
| Mailing Telephone | 4106057000 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01703 | MD | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
LL9802 | MD | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Central Ave Ste 105, Landover, MD 207854861 | 3014996196 |
| Street Address |
10264 SOUTHERN MARYLAND BLVD STE 105 |
| City | DUNKIRK |
| State | MD |
| Zip Code | 20754-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093855819 | Katherine Lambert | Physician Assistant | 10095 Ward Rd, Dunkirk, MD 20754 | 2007-02-08 |
| 1043377963 | Lengade and Zolfaghari LLC | Dentist | 10020 Southern Md Blvd, Ste 201a, Dunkirk, MD 20754 | 2007-01-02 |
| 1346347838 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10095 Ward Rd Dunkirk Marketplace, Dunkirk, MD 20754 | 2006-09-19 |
| 1043320161 | Kenneth C Kates Jr. | Dentist | 10345 Southern Maryland Blvd, Suite 211, Dunkirk, MD 20754 | 2006-08-30 |
| 1841200813 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 10790 Town Center Blvd, Dunkirk, MD 20754 | 2006-08-09 |
| 1184691263 | Laura Susana Radesca | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| 1568936821 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 10845 Town Center Blvd Ste 101, Dunkirk, MD 20754 | 2019-01-18 |
| 1023328473 | Calvert Family and Cosmetic Dentistry | Dentist | 10365 Southern Maryland Blvd, Dunkirk, MD 20754 | 2010-10-19 |
| 1851417430 | Dennis Michael Cherry | Dentist | 10420 Southern Maryland Blvd, Dunkirk, MD 20754 | 2007-03-22 |
| 1083681191 | Jose Carlos Juambeltz | Dentist | 2880 Dunkirk Way, Suite 103, Dunkirk, MD 20754 | 2006-03-07 |
| Find all providers in zip 20754 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1003447574 | Podiatry Associates Ambulatory Surgery Centers | Podiatrist | 6569 N Charles St Ste 702, Towson, MD 21204-6832 | 2020-02-03 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1922520063 | Maryland Foot & Ankle Reconstruction Group LLC | Podiatrist | 14301 Autumn Gold Rd, Boyds, MD 20841-4208 | 2017-07-11 |
| 1235671298 | David Lee Reicher | Podiatrist | 12138 Heneson Garth, Owings Mills, MD 21117-1600 | 2016-11-08 |
| 1942756275 | Adam Weaver | Podiatrist | 139 Old Solomons Island Rd Ste C, Annapolis, MD 21401-0902 | 2016-08-28 |
| 1528419595 | Kristen Rose Cadieux | Podiatrist | 16 North Laplata Court, Laplata, MD 20646-4200 | 2016-06-30 |
| 1073962270 | Farzad Saleh | Podiatrist | 6130 Oxon Hill Rd Ste 305, Oxon Hill, MD 20745-3168 | 2016-06-08 |
| 1053769596 | Emmanuella Maria Eastman | Podiatrist | 2730 University Blvd W Ste 100, Wheaton, MD 20902-1905 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. LAURA ASHLEY MICHETTI.
| 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.