PREMIER PODIATRY OF VIRGINIA LLC (NPI# 1356430078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356430078 |
| Entity Type | Organization |
| Organization Name | PREMIER PODIATRY OF VIRGINIA LLC |
| Practice Address |
10989 Red Run Blvd Suite 208 Owings Mills MD 21117-3283 |
| Practice Telephone | 4106548602 |
| Practice Fax Number | 4106548709 |
| Mailing Telephone | 4106548602 |
| Mailing Fax Number | 4106548709 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. FRANKLIN R. POLUN (PRESIDENT) |
| Authorized Official Telephone | 4106548602 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
10989 RED RUN BLVD SUITE 208 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043220593 | Judith W. Ryan | Nurse Practitioner | 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117-3283 | 2006-08-08 |
| 1669805347 | Scott Stephenson | Physical Therapist | 10989 Red Run Blvd, Suite 200, Owings Mills, MD 21117-3283 | 2013-08-16 |
| 1730417551 | Andrea Marie Eisgruber | Physical Therapist | 10989 Red Run Blvd, Suite 200, Owings Mills, MD 21117-3283 | 2009-12-07 |
| 1679786461 | Elaine Liebfeld | Physical Therapist | 10989 Red Run Blvd, Suite 200, Owings Mills, MD 21117 | 2007-05-08 |
| 1073665634 | Pinnacle Physical Therapy LLC | Physical Therapist | 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117-3283 | 2007-01-17 |
| 1891884565 | Accueyes, Inc | Optometrist | 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117-3283 | 2006-10-12 |
| 1053403154 | Nurse Practitioners and Consultants P C | Nurse Practitioner | 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117-3283 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417034323 | Joseph Ernest Curione | Podiatrist | 20 Crossroads Dr Ste 15, Owings Mills, MD 21117-5479 | 2006-11-01 |
| 1174615173 | Polun Family Footcare P C | Podiatrist | 19 Beecham Ct, Owings Mills, MD 21117-6001 | 2006-09-28 |
| 1972503829 | Tanya R Sellers-hannibal | Podiatrist | 10085 Red Run Blvd, Suite 305, Owings Mills, MD 21117-4836 | 2005-07-21 |
| 1679968101 | Whitley Williams | Podiatrist | 20 Crossroads Dr, Ste 15, Owings Mills, MD 21117-5479 | 2015-04-01 |
| 1508180712 | Tanya R. Sellers-hannibal, Dpm, PC | Podiatrist | 10085 Red Run Blvd, Suite 305, Owings Mills, MD 21117-4836 | 2010-03-16 |
| 1235112665 | Steven B Caplan | Podiatrist | 25 Crossroads Dr, Ste 410, Owings Mills, MD 21117-5421 | 2005-11-21 |
| 1730185091 | Mikel D Daniels | Podiatrist | 20 Crossroads Dr, Ste 14, Owings Mills, MD 21117-5479 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1285259192 | Podiatry Associates, P.a. | Podiatrist | 110 Old Padonia Rd Ste 300, Cockeysville, MD 21030-4948 | 2020-06-16 |
| 1588295059 | Podiatry Associates, P.a. | Podiatrist | 1205 York Rd Ste 17, Lutherville, MD 21093-6211 | 2020-02-03 |
| 1861023327 | Podiatry Associates, P.a. | Podiatrist | 10 Warren Rd Ste 130, Cockeysville, MD 21030-2518 | 2020-02-03 |
| 1225669781 | Podiatry Associates, P.a. | Podiatrist | 2 E Rolling Xrds Ste 55, Catonsville, MD 21228-6212 | 2020-02-03 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1952932428 | Podiatry Associates, P.a. | Podiatrist | 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 | 2020-02-03 |
| 1861023335 | Podiatry Associates, P.a. | Podiatrist | 1500 Blenhiem Farm Ln Ste C, Havre De Grace, MD 21078-2042 | 2020-02-03 |
| 1336798719 | Podiatry Care Plus LLC | Podiatrist | 14201 Laurel Park Dr Ste 214, Laurel, MD 20707-5203 | 2019-09-09 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on PREMIER PODIATRY OF VIRGINIA LLC.
| 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.