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RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE LLC NPI 1245610476


NPI Information

NPI: 1245610476
Provider Name: RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2100 OLD FARM DR
SUITE D
FREDERICK, MD
ZIP 21702
Phone: (301) 418-6014
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RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC is a durable medical equipment medical supplies in Frederick, MD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC NPI is 1245610476. The provider is registered as an organization entity type.

The provider's business location address is:

2100 OLD FARM DR
SUITE D
FREDERICK, MD
ZIP 21702-494
Phone: (301) 418-6014
Fax: (301) 797-8554

The provider's authorized official is Daniel D Michaels .
The authorized official title is Podiatrist/member and has the following contact phone number (301) 797-8554.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 6/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies01333MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U90774MEDICARE UPINMARYLAND
2403918100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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