SANDERS MOBILE PODIATRY INC


Address: 1405 Decatur St, Baltimore, MD 21230-5212
Phone: 4104939439

SANDERS MOBILE PODIATRY INC (NPI# 1750327268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750327268
Entity Type Organization
Organization Name SANDERS MOBILE PODIATRY INC
Practice Address 1405 Decatur St
Baltimore
MD 21230-5212
Practice Telephone 4104939439
Practice Fax Number 4438360722
Mailing Telephone 4104939439
Mailing Fax Number 4438360722
Enumeration Date 2006-06-22
Last Update Date 2010-06-30
Authorized Official Name STACEY SANDERS (PRESIDENT)
Authorized Official Telephone 4104939439
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
E10000178 DE Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD MARYLAND PODIATRY LIC# 01405 01

Office Location

Street Address 1405 DECATUR ST
City BALTIMORE
State MD
Zip Code 21230-5212

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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1154714822 Crosskeys Medical Center, LLC Podiatrist 1 Village Sq Ste 165, Baltimore, MD 21210-1603 2015-03-05
1467562389 Mark William Rothstein Podiatrist 6507 Edenvale Rd, Baltimore, MD 21209-3303 2006-08-30
1225099278 Tatyana Abramova Podiatrist 4005 7 Mile Ln, Room E, Baltimore, MD 21208-6114 2006-03-29
1871716860 Podiatry Affiliates, P.a. Podiatrist 700 Washington Blvd, Baltimore, MD 21230-2350 2007-04-10
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Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1871741355 Royden J Stanford Podiatrist 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634-4405 2008-09-08
1396894598 Thuy-linh Duy Nguyen Podiatrist 3334 Paper Mill Rd, Phoenix, MD 21131-1419 2007-01-09
1548343437 Arnold R Forman Podiatrist 1123 Merritt Blvd, Dundalk, MD 21222-1438 2006-10-23
1235156290 Eliezer Trybuch Dpm,llc Podiatrist 12121 New Hampshire Avenue, Silver Spring, MD 20904-2868 2006-07-16
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1114955564 Richard Marc Jacobs Podiatrist 4511 Knox Rd, Suite 103, College Park, MD 20740-3380 2006-06-28
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Competitor

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City BALTIMORE
Zip Code 21230

Improve Information

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Dataset Information

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.

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