CAPITAL FOOT AND ANKLE CARE CENTRE, PA (NPI# 1609115450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609115450 |
| Entity Type | Organization |
| Organization Name | CAPITAL FOOT AND ANKLE CARE CENTRE, PA |
| Other Organization Name | SOLOMONS FOOT AND ANKLE CARE |
| Practice Address |
14090 Hg Trueman Rd Ste. 1200 Solomons MD 20688-3151 |
| Mailing Address |
Po Box 1310 California MD 20619-1310 |
| Practice Telephone | 4103269700 |
| Practice Fax Number | 3018623335 |
| Mailing Telephone | 3018623338 |
| Mailing Fax Number | 3018623335 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | DR. ROBERT L VANFOSSON (VICE PRESIDENT) |
| Authorized Official Telephone | 3018623338 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPITAL FOOT AND ANKLE CARE CENTRE, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 231308100 | 05 |
| Other Name | Type Code |
|---|---|
| Solomons Foot and Ankle Care | Doing Business As Name - Organization |
| Street Address |
14090 HG TRUEMAN RD STE. 1200 |
| City | SOLOMONS |
| State | MD |
| Zip Code | 20688-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235245820 | Patricia Gurny | Internal Medicine | 14090 Hg Trueman Rd, Suite 2300, Solomons, MD 20688-3151 | 2006-08-23 |
| 1619449410 | Kyle J Clover | Physician Assistant | 14090 Hg Trueman Rd, Solomons, MD 20688-3151 | 2018-12-19 |
| 1942657051 | Calverthealth Medical Center, Inc. | Occupational Therapy Assistant | 14090 Hg Trueman Rd, Suite 1500, Solomons, MD 20688-3151 | 2016-05-18 |
| 1366848947 | Freedom Hearing Center LLC | Audiologist | 14090 Hg Trueman Rd, Suite 1400, Solomons, MD 20688-3151 | 2014-11-10 |
| 1497192751 | Keyonna Nickara Proctor | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688-3151 | 2013-05-28 |
| 1548579642 | Kendall Nicholas Defreitas | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688-3151 | 2010-10-07 |
| 1588808935 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Ste 1400, Solomons, MD 20688-3151 | 2009-04-29 |
| 1235314436 | Kenneth S Villar | Family Medicine | 14090 Hg Trueman Rd, Suite 2100, Solomons, MD 20688 | 2008-01-07 |
| 1245387208 | Calverthealth Medical Center, Inc. | Clinic/Center | 14090 Hg Trueman Rd, Suite1300, Solomons, MD 20688-3151 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740754001 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 14090 Hg Trueman Rd Ste 1100, Solomons, MD 20688 | 2019-01-18 |
| 1568982981 | Jordan Clinton King | Chiropractor | 14350 Solomos Island Road, Suite #103a, Solomons, MD 20688 | 2017-06-27 |
| 1770027260 | Southern Maryland Myofascial Release, Inc. | Physical Therapist | 90 Holiday Drive, Suite C and D1, Solomons, MD 20688 | 2016-12-19 |
| 1003262171 | Bernice Burroughs | Massage Therapist | 90 Holiday Drive, Suite D3, Solomons, MD 20688 | 2016-05-09 |
| 1780001982 | Kathleen Arban | Social Worker | 14350 Solomons Island Rd. Suite 202, Solomons, MD 20688 | 2014-03-25 |
| 1902175599 | Anne Dennen Etzkorn | Dentist | 14532 Solomons Island Rd, Solomons, MD 20688 | 2011-12-28 |
| 1851532204 | L. Steven Berns, Lcsw-c, Ltd | Social Worker | The Avondale Center, Suite 1244, Solomons, MD 20688 | 2009-03-16 |
| 1285879759 | Joyce Gradle | Counselor | 14350 Solomons Island Rd., Solomons, MD 20688 | 2008-12-11 |
| 1356510713 | The Training Room Inc | Durable Medical Equipment & Medical Supplies | 14090 H G Trueman Rd, Solomons, MD 20688 | 2008-02-29 |
| 1194923011 | Shah Associates Md LLC | Internal Medicine | 14090 H G Trueman Rd, Ste, Solomons Medical Center, Solomons, MD 20688 | 2007-07-03 |
| Find all providers in zip 20688 | ||||
| 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 |
| 1376073171 | Laura Ashley Michetti | Podiatrist | 10264 Southern Maryland Blvd Ste 105, Dunkirk, MD 20754-3037 | 2017-06-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.