CALVERT AMBULATORY FOOT SURGERY CENTER


Address: 1430 Old Solomons Island Road, Prince Frederick, MD 20678
Phone: 4105351719

CALVERT AMBULATORY FOOT SURGERY CENTER (NPI# 1760491633) 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) 1760491633
Entity Type Organization
Organization Name CALVERT AMBULATORY FOOT SURGERY CENTER
Practice Address 1430 Old Solomons Island Road
Prince Frederick
MD 20678
Mailing Address Po Box 1320
La Plata
MD 20646-1320
Practice Telephone 4105351719
Practice Fax Number 4103268088
Mailing Telephone 3019343345
Mailing Fax Number 3019343345
Enumeration Date 2006-08-07
Last Update Date 2020-08-22
Authorized Official Name JEFFREY L IDOL (DIRECTOR)
Authorized Official Telephone 3019343345
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP1100X Clinic/Center
Specialization: Podiatric
A1325R MD Ambulatory Health Care Facilities

Office Location

Street Address 1430 OLD SOLOMONS ISLAND ROAD
City PRINCE FREDERICK
State MD
Zip Code 20678

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861857500 Watershed Counseling Service Counselor 246 Merrimac Court, Prince Frederick, MD 20678 2015-12-23
1023449642 Mary Gordon Walter Registered Nurse 976 Solomans Island Road, Prince Frederick, MD 20678 2013-12-07
1891126827 Jacqueline Leclercq Nurse Practitioner 110 Hospital Road Suite 303, Prince Frederick, MD 20678 2013-12-02
1174959001 Linsey Rowe Heane Physical Therapist 110 Main Street Suite 1, Prince Frederick, MD 20678 2013-09-24
1053607002 Tidewater Dental Pf Dentist 690 Prince Frederick Blvd, Prince Frederick, MD 20678 2011-06-28
1033411558 Sharon Patricia Parran Pharmacist 80 W.dares Beach Road, Prince Frederick, MD 20678 2010-12-04
1366684326 Prince Frederick Surgery Center LLC Clinic/Center 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 2009-04-06
1982844734 Orthocare Solutions Inc Durable Medical Equipment & Medical Supplies 220 Old Solomans Island Rd, Prince Frederick, MD 20678 2009-03-05
1225273519 Rebecca Lynn Jahed Audiologist 3180 Blackberry Lane, Prince Frederick, MD 20678 2008-12-16
1669639209 Ralph Walter Niemann Dentist 272 Merrimac Court, Prince Frederick, MD 20678 2008-05-21
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Taxonomy Information

Taxonomy Code 261QP1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Podiatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245668060 Soffer Foot and Ankle Care, LLC Clinic/Center 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 2013-10-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316590706 Medstar Medical Group II, LLC Clinic/Center 5601 Loch Raven Blvd Ste 101, Baltimore, MD 21239-2945 2019-07-24
1457831166 Smith Podiatry & Associates LLC Clinic/Center 5610 Harford Rd Ste A, Baltimore, MD 21214 2018-08-21
1144547951 Richard L. Rosenblatt D.p.m.,pc Clinic/Center 6606 Park Heights Ave Ste 9a, Baltimore, MD 21215-2732 2010-05-03
1497089304 Catonsville Foot & Ankle Clinic/Center 109 Osborne Ave, Catonsville, MD 21228-4937 2009-09-24
1780687442 Polun American Surgery Center, PC Clinic/Center 10236 River Rd, Potomac, MD 20854-4959 2005-05-24
1124534581 Sole Care LLC Clinic/Center 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 2017-12-21
1295261436 Samuel D Beitler Clinic/Center 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 2017-05-09
1316326978 Reconstructive Foot and Ankle Institute, LLC Clinic/Center 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 2015-05-28
1114346731 Va Maryland Health Care System Clinic/Center 10 N Greene St, Baltimore, MD 21201-1524 2014-04-10
1417275660 Ronald K. Criss, D.p.m.,p.c. Clinic/Center 2255 Crain Hwy, Suite 102, Waldorf, MD 20601-3164 2010-05-12
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Competitor

Search similar providers

City PRINCE FREDERICK
Zip Code 20678

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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