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FOOT AND ANKLE CARE OF FREDERICK INC NPI 1568498301


NPI Information

NPI: 1568498301
Provider Name: FOOT AND ANKLE CARE OF FREDERICK, INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
604 SOLAREX CT
UNIT 103
FREDERICK, MD
ZIP 21703
Phone: (301) 698-9260
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FOOT AND ANKLE CARE OF FREDERICK, INC is a podiatrist in Frederick, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT AND ANKLE CARE OF FREDERICK, INC NPI is 1568498301. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

604 SOLAREX CT
UNIT 103
FREDERICK, MD
ZIP 21703-678
Phone: (301) 698-9260
Fax: (301) 698-8962

The provider's authorized official is David Mark Grace .
The authorized official title is Owner and has the following contact phone number (301) 698-9260.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 11/11/2009.


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
1213E00000XPodiatrist01249MARYLANDYes

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
1403808801MEDICAIDMARYLAND
2019538300OTHERMARYLANDDME - MEDICAID
3DD4719OTHERMARYLANDMEDICARE RAILROAD
4717MMEDICARE ID-TYPE UNSPECIFIEDMARYLANDGROUP NUMBER
53909130001MEDICARE NSCMARYLAND
61457320814OTHERMARYLANDINDIVIDUAL NPI
7403808800MEDICAIDMARYLAND

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

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