TANYA R. SELLERS-HANNIBAL, DPM, PC (NPI# 1508180712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508180712 |
| Entity Type | Organization |
| Organization Name | TANYA R. SELLERS-HANNIBAL, DPM, PC |
| Practice Address |
10085 Red Run Blvd Suite 305 Owings Mills MD 21117-4836 |
| Practice Telephone | 4105818331 |
| Practice Fax Number | 4105818332 |
| Mailing Telephone | 4105818331 |
| Mailing Fax Number | 4105818332 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | TANYA R SELLERS-HANNIBAL (OWNER) |
| Authorized Official Telephone | 4105818331 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 01173 | MD | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | PO543 | DC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PO543 | DC | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
01173 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119128400 | 05 |
| Street Address |
10085 RED RUN BLVD SUITE 305 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503829 | Tanya R Sellers-hannibal | Podiatrist | 10085 Red Run Blvd, Suite 305, Owings Mills, MD 21117-4836 | 2005-07-21 |
| 1114492436 | Samantha Krench | Nurse Practitioner | 10085 Red Run Blvd, Owings Mills, MD 21117-4836 | 2018-10-13 |
| 1821531872 | Rosen-hoffberg Rehabilitation & Pain Management | Social Worker | 10085 Red Run Blvd, Suite 404, Owings Mills, MD 21117-4836 | 2016-11-23 |
| 1710429188 | Daniel J. Levy, Md, Pa | Community/Behavioral Health | 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117-4836 | 2016-11-16 |
| 1659752426 | Rosen-hoffberg Rehabilitation and Pain Management Associates, P.a | Social Worker | 10085 Red Run Blvd, Suite 404, Owings Mills, MD 21117-4836 | 2015-06-17 |
| 1518365535 | Centers for Advanced Orthopaedics LLC | Chiropractor | 10085 Red Run Blvd, #404, Owings Mills, MD 21117 | 2014-12-08 |
| 1639589146 | Keandra Jones | Nurse Practitioner | 10085 Red Run Blvd, #201, Owings Mills, MD 21117 | 2014-05-06 |
| 1932526357 | Eric J Kraut Md LLC | Surgery | 10085 Red Run Blvd, Suite 306, Owings Mills, MD 21117-4836 | 2014-03-24 |
| 1538585773 | Maryland Pharmacy and Home Infusion, Inc | Pharmacy | 10085 Red Run Blvd, Suite 104 B, Owings Mills, MD 21117-4836 | 2014-03-12 |
| 1356697155 | Family First Counseling and Consultation, LLC | Social Worker | 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117-4836 | 2012-07-30 |
| Find all providers in the same location | ||||
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1740623909 | Dr Dorothy J Powell PC | Podiatrist | 4467 Old Branch Ave Ste 105, Temple Hills, MD 20748-1854 | 2013-04-08 |
| 1174833735 | Dove Podiatry Pa | Podiatrist | 8817 Belair Rd Ste 109, Nottingham, MD 21236-2445 | 2010-10-18 |
| 1518281237 | William A Gormley, Dpm, LLC | Podiatrist | 1071 State Route 3 N Ste 203, Gambrills, MD 21054-1784 | 2010-03-24 |
| 1538312764 | Dr. Darlyne Cange, Dpm, LLC | Podiatrist | 1701 Eutaw Pl, Suite 140, Baltimore, MD 21217-3765 | 2008-10-31 |
| 1295997385 | Stacia N. Jones | Podiatrist | 151 Westway, Apt 203, Greenbelt, MD 20770-1980 | 2008-06-30 |
| 1699942656 | Michael Robert Smith Jr. | Podiatrist | 5610 Harford Rd, Baltimore, MD 21214-2247 | 2008-05-09 |
| 1174793087 | Eugene O Hudyma Dpm | Podiatrist | 7836 Oakwood Rd Ste A, Glen Burnie, MD 21061-4298 | 2008-03-06 |
| 1356539878 | Peter N. Brieloff, Dpm Pa | Podiatrist | 805 E Oldtown Rd, Suite B, Cumberland, MD 21502-4033 | 2007-10-10 |
| 1497940282 | Bowser Podiatry Pa | Podiatrist | 2001 Willowcrest Cir, Baltimore, MD 21209-3730 | 2007-09-13 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on TANYA R. SELLERS-HANNIBAL, DPM, PC.
| 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.