CAPITAL FOOT & ANKLE CARE CENTRE PA (NPI# 1083955405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083955405 |
| Entity Type | Organization |
| Organization Name | CAPITAL FOOT & ANKLE CARE CENTRE PA |
| Other Organization Name | PRINCE FREDERICK FOOT & ANKLE CARE |
| Practice Address |
995 Prince Frederick Blvd Ste. 104 Prince Frederick MD 20678-3198 |
| Mailing Address |
Po Box 1310 California MD 20619-1310 |
| Practice Telephone | 4104145033 |
| Practice Fax Number | 3018623335 |
| Mailing Telephone | 3018623338 |
| Mailing Fax Number | 3018623335 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Authorized Official Name | DR. ROBERT L VANFOSSON (VICE PRESIDENT) |
| Authorized Official Telephone | 3018623338 |
| Authorized Official Credential | D.P.M |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPITAL FOOT & ANKLE CARE CENTRE PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 231308100 | 05 |
| Other Name | Type Code |
|---|---|
| Prince Frederick Foot & Ankle Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053320580 | Capital Foot & Ankle Care Centre Pa | Non-Pharmacy Dispensing Site | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| Street Address |
995 PRINCE FREDERICK BLVD STE. 104 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336213503 | Alvanus Howland Hartley | Dermatology | 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678-3198 | 2006-11-20 |
| 1164899241 | Kenneth L Ferrera | Physician Assistant | 995 Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678-3198 | 2015-08-25 |
| 1790922250 | The Vine Christian Counseling, LLC | Social Worker | 995 Prince Frederick Blvd, Suite 209, Prince Frederick, MD 20678-3198 | 2009-01-20 |
| 1053564898 | Tamera Ireland Olson | Social Worker | 995 Prince Frederick Blvd, Ste. 209, Prince Frederick, MD 20678-3198 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689802118 | Eric Benjamin Soffer | Podiatrist | 301 Steeple Chase Dr Ste 403, Prince Frederick, MD 20678-4051 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1003447574 | Podiatry Associates Ambulatory Surgery Centers | Podiatrist | 6569 N Charles St Ste 702, Towson, MD 21204-6832 | 2020-02-03 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1922520063 | Maryland Foot & Ankle Reconstruction Group LLC | Podiatrist | 14301 Autumn Gold Rd, Boyds, MD 20841-4208 | 2017-07-11 |
| 1376073171 | Laura Ashley Michetti | Podiatrist | 10264 Southern Maryland Blvd Ste 105, Dunkirk, MD 20754-3037 | 2017-06-14 |
| 1235671298 | David Lee Reicher | Podiatrist | 12138 Heneson Garth, Owings Mills, MD 21117-1600 | 2016-11-08 |
| 1942756275 | Adam Weaver | Podiatrist | 139 Old Solomons Island Rd Ste C, Annapolis, MD 21401-0902 | 2016-08-28 |
| 1528419595 | Kristen Rose Cadieux | Podiatrist | 16 North Laplata Court, Laplata, MD 20646-4200 | 2016-06-30 |
| 1073962270 | Farzad Saleh | Podiatrist | 6130 Oxon Hill Rd Ste 305, Oxon Hill, MD 20745-3168 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on CAPITAL FOOT & ANKLE CARE CENTRE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.