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PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER NPI 1285736207


NPI Information

NPI: 1285736207
Provider Name: PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER

Doing Business As: PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
139 OLD SOLOMONS ISLAND ROAD
SUITE C
ANNANPOLIS, MD
ZIP 21401
Phone: (410) 224-4448
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PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER is an ambulatory surgical clinic center in Annanpolis, MD. PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER NPI is 1285736207. The provider is registered as an organization entity type.
The provider Is Doing Business As Podiatry Group Of Annapolis Ambulatory Surgical Center Llc.

The provider's business location address is:

139 OLD SOLOMONS ISLAND ROAD
SUITE C
ANNANPOLIS, MD
ZIP 21401-902
Phone: (410) 224-4448
Fax: (443) 949-9539

The provider's authorized official is James M Mckee .
The authorized official title is Owner and has the following contact phone number (410) 224-4448.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 9/29/2014.


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 SurgicalA1134MARYLANDYes

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
1336913OTHERGEHA
2336913OTHERMDIPA
3522197293OTHERTRICARE
4=========OTHERPREFERRED HEALTH
5X16533MEDICARE UPIN
6336913OTHERALLIANCE
7706667OTHERAETNA HMO TRADITIONAL
86949277OTHERCIGNA
979740000OTHERFEDERAL EMPLOYEE PROGRAM
10402820100MEDICAIDMARYLAND
11336913OTHERFELRA
125147492OTHERAETNA
13706667OTHERAETNA
14=========OTHERPRIVATE HEALTHCARE
15483463OTHERNCPPO
1660853301OTHERCAREFIRST BC BS
17336913OTHERMAMSI LIFE & HEALTH
18NH8OTHERGHMSI
19ZZ22OTHERPTAN
20ZZ22MEDICARE ID-TYPE UNSPECIFIEDMARYLAND

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.