DR SAMUEL D BEITLER PA (NPI# 1548299613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548299613 |
| Entity Type | Organization |
| Organization Name | DR SAMUEL D BEITLER PA |
| Other Organization Name | DR SAMUEL D BEITLER PA, ASC |
| Practice Address |
795 Aquahart Rd #125 Glen Burnie MD 21061-3962 |
| Practice Telephone | 4107680702 |
| Practice Fax Number | 4107680649 |
| Mailing Telephone | 4107680702 |
| Mailing Fax Number | 4107680649 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. SAMUEL D BEITLER (OWNER) |
| Authorized Official Telephone | 4107680702 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
445 | MH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr Samuel D Beitler PA, ASC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518169846 | Dr Samuel D Beitler Pa | Durable Medical Equipment & Medical Supplies | 795 Aquahart Road, Suite Number 125, Glen Burnie, MD 21061 | 2007-05-31 |
| Street Address |
795 AQUAHART RD #125 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454843 | Samuel D Beitler | Podiatrist | 795 Aquahart Rd, #125, Glen Burnie, MD 21061-3962 | 2005-08-15 |
| 1295261436 | Samuel D Beitler | Clinic/Center | 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 | 2017-05-09 |
| 1720153000 | Marcia G Hoffman | Social Worker | 795 Aquahart Rd, Suite 205, Glen Burnie, MD 21061-3953 | 2006-11-21 |
| 1144304965 | Maria Cecilia A Anderson | Physical Therapist | 795 Aquahart Rd, Suite 100, Glen Burnie, MD 21061-3962 | 2006-10-25 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295261436 | Samuel D Beitler | Clinic/Center | 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 | 2017-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590706 | Medstar Medical Group II, LLC | Clinic/Center | 5601 Loch Raven Blvd Ste 101, Baltimore, MD 21239-2945 | 2019-07-24 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1144547951 | Richard L. Rosenblatt D.p.m.,pc | Clinic/Center | 6606 Park Heights Ave Ste 9a, Baltimore, MD 21215-2732 | 2010-05-03 |
| 1497089304 | Catonsville Foot & Ankle | Clinic/Center | 109 Osborne Ave, Catonsville, MD 21228-4937 | 2009-09-24 |
| 1760491633 | Calvert Ambulatory Foot Surgery Center | Clinic/Center | 1430 Old Solomons Island Road, Prince Frederick, MD 20678 | 2006-08-07 |
| 1780687442 | Polun American Surgery Center, PC | Clinic/Center | 10236 River Rd, Potomac, MD 20854-4959 | 2005-05-24 |
| 1124534581 | Sole Care LLC | Clinic/Center | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2017-12-21 |
| 1316326978 | Reconstructive Foot and Ankle Institute, LLC | Clinic/Center | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-05-28 |
| 1114346731 | Va Maryland Health Care System | Clinic/Center | 10 N Greene St, Baltimore, MD 21201-1524 | 2014-04-10 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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| 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.