LOFT SOLES PODIATRY LLC (NPI# 1396100905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396100905 |
| Entity Type | Organization |
| Organization Name | LOFT SOLES PODIATRY LLC |
| Other Organization Name | FOOT AND ANKLE INSTITUTE OF MARYLAND |
| Practice Address |
7671 Quarterfield Rd Ste 302 Glen Burnie MD 21061-4525 |
| Practice Telephone | 4107680074 |
| Practice Fax Number | 4107680075 |
| Mailing Telephone | 4107680074 |
| Mailing Fax Number | 4107680075 |
| Enumeration Date | 2015-12-24 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | DONALD ERNEST HARRISON (PODIATRIST) |
| Authorized Official Telephone | 4438267681 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
01510 | MD | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Foot and Ankle Institute of Maryland | Doing Business As Name - Organization |
| Street Address |
7671 QUARTERFIELD RD STE 302 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730275322 | Charles Frederick Wilson | Podiatrist | 13100 New Hampshire Ave, Silver Spring, MD 20904-3358 | 2006-10-04 |
| 1609808443 | Jay S Lebow Dpm Pa | Podiatrist | 1626 E Fort Ave, Baltimore, MD 21230-5245 | 2006-07-06 |
| 1548335177 | Julie Catherine Fraser | Podiatrist | 75 Thomas Johnson Dr, Suite I, Frederick, MD 21702-4895 | 2006-11-21 |
| 1700997400 | Carron Rose Grant | Podiatrist | 1447 York Rd Ste 100, Lutherville, MD 21093-6074 | 2006-08-31 |
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on LOFT SOLES PODIATRY 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.