PODIATRY GROUP OF WALDORF NPI 1942346846

NPI Information

NPI: 1942346846
Provider Name: PODIATRY GROUP OF WALDORF
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
3261 OLD WASHINGTON RD
SUITE 1010
WALDORF, MD
ZIP 20602
Phone: (301) 645-0366
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PODIATRY GROUP OF WALDORF is a foot surgery podiatrist in Waldorf, MD. PODIATRY GROUP OF WALDORF NPI is 1942346846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3261 OLD WASHINGTON RD
SUITE 1010
WALDORF, MD
ZIP 20602-223
Phone: (301) 645-0366
Fax: (301) 843-4773

The provider's authorized official is Terrie Lynn Ballenger .
The authorized official title is Office Manager and has the following contact phone number (301) 645-0366.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 8/14/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery			Yes

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: 5/5/2024

NPI Synchronization or Removal

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