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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
A1325R | MD | Ambulatory Health Care Facilities |
Street Address |
1430 OLD SOLOMONS ISLAND ROAD |
City | PRINCE FREDERICK |
State | MD |
Zip Code | 20678 |
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 |
Find all providers in zip 20678 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | PRINCE FREDERICK |
Zip Code | 20678 |
Please comment or provide details below to improve the information on CALVERT AMBULATORY FOOT SURGERY CENTER.
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.