Robert Lewis Vanfosson (NPI# 1194734780, PAC ID# 4082650908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1194734780 |
| PAC ID by PECOS | 4082650908 |
| Professional Enrollment ID | I20050630000889 |
| Full Name | Robert Lewis Vanfosson |
| Organization Legal Name | CAPITAL FOOT AND ANKLE CARE CENTRE, PA |
| Address |
22325 Greenview Pkwy Unit 1a Great Mills MD 20634-4405 |
| Phone Number | 3018623338 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5698729366 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22325 Greenview Pkwy, Unit 1a, Great Mills, MD 20634-4405 | 3018623338 | CAPITAL FOOT AND ANKLE CARE CENTRE, PA |
| Organization Legal Name | CAPITAL FOOT AND ANKLE CARE CENTRE, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Hatch | Podiatry | Capital Foot and Ankle Care Centre, Pa | 22325 Greenview Pkwy, Unit 1a, Great Mills, MD 20634-4405 |
| Douglas Hallgren | Podiatry | Capital Foot and Ankle Care Centre, Pa | 22325 Greenview Pkwy, Unit 1a, Great Mills, MD 20634-4405 |
| Taunna E Jones | Podiatry | Capital Foot and Ankle Care Centre, Pa | 37767 Market Dr, Unit 100, Charlotte Hall, MD 20622-3175 |
| Street Address |
22325 GREENVIEW PKWY UNIT 1A |
| City | GREAT MILLS |
| State | MD |
| Zip | 20634-4405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Hatch | Podiatry | Capital Foot and Ankle Care Centre, Pa | 22325 Greenview Pkwy, Unit 1a, Great Mills, MD 20634-4405 |
| Douglas Hallgren | Podiatry | Capital Foot and Ankle Care Centre, Pa | 22325 Greenview Pkwy, Unit 1a, Great Mills, MD 20634-4405 |
| City | GREAT MILLS |
| Zip Code | 20634 |
| Specialty | PODIATRY |
| City + Specialty | GREAT MILLS + PODIATRY |
Please comment or provide details below to improve the information on Robert Lewis Vanfosson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.