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FOOT SURGI-CENTER OF OWINGS MILLS LLC NPI 1659377166


NPI Information

NPI: 1659377166
Provider Name: FOOT SURGI-CENTER OF OWINGS MILLS, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
25 CROSSROADS DR
STE 410
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 363-2233
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FOOT SURGI-CENTER OF OWINGS MILLS, LLC is an ambulatory surgical clinic center in Owings Mills, MD. FOOT SURGI-CENTER OF OWINGS MILLS, LLC NPI is 1659377166. The provider is registered as an organization entity type.

The provider's business location address is:

25 CROSSROADS DR
STE 410
OWINGS MILLS, MD
ZIP 21117-439
Phone: (410) 363-2233
Fax: (410) 363-2235

The provider's authorized official is Eric L Diamond .
The authorized official title is Owner and has the following contact phone number (410) 363-2233.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/13/2013.


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
1261QA1903XClinic/CenterAmbulatory SurgicalA1397MARYLANDYes

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
1P10037OTHERINFORMED
2173ZMEDICARE ID-TYPE UNSPECIFIED
3406146200MEDICAIDMARYLAND
464190001OTHERMARYLANDBCBS
57973633OTHERAETNA PPO
6109235OTHEREMPLOYERS HEALTH PLAN
7689786OTHERNCPPO
8RPIOTHERDISTRICT OF COLUMBIABCBS
9=========OTHERPHCS
103768322OTHERAETNA HMO
11P00200011MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE

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: 11/14/2023

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