RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC (NPI# 1871655381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871655381 |
| Entity Type | Organization |
| Organization Name | RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC |
| Practice Address |
1150 Professional Ct Suite C Hagerstown MD 21740-5852 |
| Mailing Address |
Po Box 269 Frederick MD 21705-0269 |
| Practice Telephone | 3017978554 |
| Practice Fax Number | 3017978281 |
| Mailing Telephone | 3017978554 |
| Mailing Fax Number | 3017979228 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | DR. DANIEL DALE MICHAELS (OWNER) |
| Authorized Official Telephone | 3017978554 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE RAILROAD | DC3915 | 01 |
| MD | CAREFIRST MD | 290A | 01 |
| DC | BCBS | J323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508260118 | Reconstructive Foot & Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-4100 | 2014-10-13 |
| 1356633754 | Reconstructive Foot & Ankle Institute, LLC | Podiatrist | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2011-05-04 |
| Street Address |
1150 PROFESSIONAL CT SUITE C |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308827 | Ali Abdel-tawab Amin El-mohandes | Pain Medicine | 1150 Professional Ct, Ste P, Hagerstown, MD 21740-4100 | 2005-07-07 |
| 1053788422 | Luckricia Olivacce | Physician Assistant | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2015-09-01 |
| 1427448448 | Sonja Naomi Lynton | Nurse Practitioner | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2015-01-29 |
| 1508260118 | Reconstructive Foot & Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-4100 | 2014-10-13 |
| 1215274477 | Center for Pain Management, LLC | Pain Medicine | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2013-01-08 |
| 1003189515 | Cheryl Lourdes Mejia | Physical Medicine & Rehabilitation | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2012-02-14 |
| 1194029397 | Rachael Lottie Johnson | Nurse Practitioner | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2011-01-03 |
| 1851542963 | Ludwick Eye Center | Optometrist | 1150 Professional Ct, Suite B, Hagerstown, MD 21740-4100 | 2008-10-07 |
| 1073646931 | Shelley Ann Castle | Nurse Practitioner | 1150 Professional Ct, Suite P, Hagerstown, MD 21740-4100 | 2007-03-13 |
| 1649330259 | Rfai Surgery Center Hagerstown | Clinic/Center | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-5852 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265810873 | Adam Grahn | Podiatrist | 11110 Medical Campus Rd Ste 100, Hagerstown, MD 21742-6734 | 2015-05-14 |
| 1841673548 | Brandy Hooper Grahn | Podiatrist | 11110 Medical Campus Rd Ste 100, Hagerstown, MD 21742-6734 | 2015-06-30 |
| 1871758409 | Rachel Tuer | Podiatrist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2008-07-23 |
| 1538343140 | Najiah Faour | Podiatrist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2007-12-19 |
| 1437354370 | Carmen Zaldivar-adler | Podiatrist | 372 Mill St, Hagerstown, MD 21740-6138 | 2007-06-20 |
| 1427277508 | Drs Charles P and Karen F Sanicola Pa | Podiatrist | 372 Mill St, Hagerstown, MD 21740-6138 | 2007-04-25 |
| 1780808238 | William Edward Daniel Yeaman | Podiatrist | 372 Mill St, Hagerstown, MD 21740-6138 | 2007-04-13 |
| 1073615373 | Daniel Dale Michaels | Podiatrist | 1150 Professional Ct, Suite C, Hagerstown, MD 21740-5852 | 2006-09-05 |
| 1639101520 | Gregory A Smith | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742 | 2006-07-07 |
| 1437181328 | Betsy F Rosenthal | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742 | 2006-07-07 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on RECONSTRUCTIVE FOOT & ANKLE INSTITUTE, LLC.
| 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.