DR. DEBRA R. BOENDER (NPI# 1851394027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851394027 |
| Entity Type | Individual |
| Full Name | DR. DEBRA R. BOENDER |
| Credential | D.P.M. |
| Practice Address |
26553 Mariners Rd Crisfield MD 21817-2109 |
| Practice Telephone | 4437995500 |
| Mailing Telephone | 4437995500 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 01409 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | RR MEDICARE | RR DC9138 | 01 |
| MD | 002216100 | 05 | |
| MD | BC/BS FED, DC, B CHOICE | K4150001 | 01 |
| MD | DME | 5373800001 | 01 |
| MD | CAREFIRST BC/BS | 689BPO/644903-01 | 01 |
| MD | CARE IMPROVEMENT PLUS | 201663779 | 01 |
| MD | ONE NET | 2137828 | 01 |
| MD | FED WORKERS COMP | 606937400 | 01 |
| MD | POMCO | 201663779 | 01 |
| MD | UNITED HEALTHCARE | 002485895002 | 01 |
| MD | PODIATRY LICENSE MARYLAND | 01409 | 01 |
| MD | GREAT WEST | 201663779 | 01 |
| Street Address |
26553 MARINERS RD |
| City | CRISFIELD |
| State | MD |
| Zip Code | 21817-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192095 | Debra R. Boender, Dpm, Phd, LLC | Podiatrist | 26553 Mariners Rd, Crisfield, MD 21817-2109 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396055539 | Heather Lee Shelton | Social Worker | 382 W. Main Street, Crisfield, MD 21817 | 2010-10-20 |
| 1336326271 | Kevin James Marsh | Counselor | 19 Mill Lane, Crisfield, MD 21817 | 2008-01-23 |
| 1770671513 | Bruce Cluff Ramsay | Dentist | 26380 Asbury Ave, Crisfield, MD 21817 | 2006-10-10 |
| 1801874300 | Terry H Passano | Dietitian, Registered | 201 Hall Highway, Crisfield, MD 21817 | 2006-01-04 |
| 1972581825 | Somerset Health Services LLC | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-01-02 |
| 1568454239 | Frank E Goldman | Pharmacist | Mccready Memorial Hospital, 201 Hall Highway, Crisfield, MD 21817 | 2005-08-18 |
| 1740519784 | Ma Amil Perilla | Physical Therapist | 201 Hall Highway, Crisfield, MD 21817 | 2009-12-22 |
| 1962593699 | Shah Mohammed Yahya | Pharmacist | 390 W Main St Unit A, Crisfield, MD 21817 | 2006-09-27 |
| 1841205242 | Libertad Holazo Escalante | Pediatrics | 324 W Main St, Crisfield, MD 21817 | 2006-07-31 |
| 1023058062 | Mccready Foundation, Inc | Anesthesiology | 201 Hall Hwy, Crisfield, MD 21817 | 2006-06-07 |
| Find all providers in zip 21817 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192095 | Debra R. Boender, Dpm, Phd, LLC | Podiatrist | 26553 Mariners Rd, Crisfield, MD 21817-2109 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1285259192 | Podiatry Associates, P.a. | Podiatrist | 110 Old Padonia Rd Ste 300, Cockeysville, MD 21030-4948 | 2020-06-16 |
| 1588295059 | Podiatry Associates, P.a. | Podiatrist | 1205 York Rd Ste 17, Lutherville, MD 21093-6211 | 2020-02-03 |
| 1861023327 | Podiatry Associates, P.a. | Podiatrist | 10 Warren Rd Ste 130, Cockeysville, MD 21030-2518 | 2020-02-03 |
| 1225669781 | Podiatry Associates, P.a. | Podiatrist | 2 E Rolling Xrds Ste 55, Catonsville, MD 21228-6212 | 2020-02-03 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1952932428 | Podiatry Associates, P.a. | Podiatrist | 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 | 2020-02-03 |
| 1861023335 | Podiatry Associates, P.a. | Podiatrist | 1500 Blenhiem Farm Ln Ste C, Havre De Grace, MD 21078-2042 | 2020-02-03 |
| 1336798719 | Podiatry Care Plus LLC | Podiatrist | 14201 Laurel Park Dr Ste 214, Laurel, MD 20707-5203 | 2019-09-09 |
| 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.