DRS TABOR & WEBER PA NPI 1285767723

NPI Information

NPI: 1285767723
Provider Name: DRS TABOR & WEBER PA

Former Legal Business Name: DRS MICHETTI TABOR & WEBER PA

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
702 RUSSELL AVE
SUITE 103
GAITHERSBURG, MD
ZIP 20877
Phone: (301) 948-3668
Get Directions

DRS TABOR & WEBER PA is a foot and ankle surgery podiatrist in Gaithersburg, MD. DRS TABOR & WEBER PA NPI is 1285767723. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Drs Michetti Tabor & Weber Pa.

The provider's business location address is:

702 RUSSELL AVE
SUITE 103
GAITHERSBURG, MD
ZIP 20877-606
Phone: (301) 948-3668
Fax: (301) 926-7787

The provider's authorized official is Michael Lawrence Michetti .
The authorized official title is President and has the following contact phone number (301) 948-3668.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 9/11/2019.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery		MARYLAND	Yes

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
1	214348800	MEDICAID	MARYLAND
2	7121	OTHER	DISTRICT OF COLUMBIA	BCBS NCA
3	KU36MI	OTHER	MARYLAND	BCBS MD

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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