FREDERICK FOOT AND ANKLE SPECIALISTS PC NPI 1205906302

NPI Information

  • NPI: 1205906302
  • Provider Name: FREDERICK FOOT AND ANKLE SPECIALISTS PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • :
  • Address: 141 THOMAS JOHNSON DR
    SUITE 170
    FREDERICK, MD
    ZIP 21702
  • Phone: (301) 668-9707

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NPI Details

FREDERICK FOOT AND ANKLE SPECIALISTS PC is a foot and ankle surgery podiatrist in Frederick, MD. FREDERICK FOOT AND ANKLE SPECIALISTS PC NPI is 1205906302. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

141 THOMAS JOHNSON DR
SUITE 170
FREDERICK, MD
ZIP 21702-530
Phone: (301) 668-9707
Fax: (301) 668-4927

The provider's authorized official is Yenisey Yanes .
The authorized official title is Owner and has the following contact phone number (301) 668-9707.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/21/2025.

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
1213ES0103XPodiatristFoot & Ankle Surgery01292MARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1413382000MEDICAIDMARYLAND

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: 11/21/2025

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