EASTERN SHORE FAMILY FOOT CARE, LLC (NPI# 1548645369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548645369 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE FAMILY FOOT CARE, LLC |
| Practice Address |
2108 Didonato Dr Chester MD 21619-2628 |
| Mailing Address |
970 Washington Ave Chestertown MD 21620-3322 |
| Practice Telephone | 4106437141 |
| Practice Fax Number | 4107583249 |
| Mailing Telephone | 4107781801 |
| Mailing Fax Number | 4107583249 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | MARK GOLDBERG (OWNER) |
| Authorized Official Telephone | 4107781801 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891170619 | Eastern Shore Family Foot Care, LLC | Podiatrist | 510 S 5th Ave, Denton, MD 21629-1368 | 2015-07-22 |
| 1295110013 | Eastern Shore Family Foot Care, LLC | Podiatrist | 406 S Liberty St, Centreville, MD 21617-1224 | 2015-07-22 |
| Street Address |
2108 DIDONATO DR |
| City | CHESTER |
| State | MD |
| Zip Code | 21619-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255443727 | Gary J Sprouse | Internal Medicine | 2108 Didonato Dr, Chester, MD 21619-2628 | 2006-08-31 |
| 1659627172 | Rosemay Christensen | Hearing Instrument Specialist | 2108 Didonato Dr, Chester, MD 21619-2628 | 2012-08-02 |
| 1245400415 | Pain Management and Anesthesia Services, LLC | Anesthesiology | 2108 Didonato Dr, Chester, MD 21619-2628 | 2008-03-04 |
| 1386745297 | Felix Darnell Barnett | Anesthesiology | 2108 Didonato Dr, Chester, MD 21619-2628 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359532 | Queen Anne's Medical Center, LLC | Internal Medicine | 2108 Rear Didonato Drive, Chester, MD 21619 | 2018-03-15 |
| 1700326410 | Erika Waynik | Nurse Practitioner | 115 South Piney Road, Minuteclinic, Chester, MD 21619 | 2017-02-28 |
| 1780923425 | Sabitri Baker | Specialist | 210 Country Day Rd, Chester, MD 21619 | 2013-01-31 |
| 1487986287 | Richard Davis Brown | Family Medicine | 128 Kirwans Landing Ln, Chester, MD 21619 | 2010-02-03 |
| 1225299837 | Kent Island Chiropractic and Rehabilitation | Clinic/Center | 1812 Main St., Suite C, Chester, MD 21619 | 2008-06-17 |
| 1407048283 | Brian Johnson Olmstead | Dentist | 1547 Rainbow Plaza, Chester, MD 21619 | 2007-08-15 |
| 1972721165 | John A Benkovich IIi | Dentist | 800 Abruzzi Drive Unit F, Chester, MD 21619 | 2007-04-23 |
| 1457400798 | James Charles Pochron | Dentist | 116 South Piney Rd #202, Chester, MD 21619 | 2007-01-09 |
| 1578628608 | Kent Drug Inc | Pharmacy | 1723 Main St, Chester, MD 21619 | 2006-12-27 |
| 1750304275 | Lisa Rene' Jackson-cherry | Counselor | 1114 Didinato Dr, Chester Regional Medical Center, Chester, MD 21619 | 2006-07-25 |
| Find all providers in zip 21619 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1073781076 | James River Foot & Ankle Center P C | Podiatrist | 13125 Rivers Bend Blvd, Chester, VA 23836-2699 | 2008-02-13 |
| 1609834795 | Allan Scott Wax | Podiatrist | 13048 Rivers Bend Rd, Chester, VA 23836-2564 | 2006-05-01 |
| 1679194856 | Pooja Manjunatha | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-29 |
| 1306403803 | Quinn Tran | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-05-21 |
| 1124581079 | Hans Erik Wangsness | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-08 |
| 1821550013 | Yusuke Kihira | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2019-04-05 |
| 1306331590 | Nina Kovalenko | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-06-29 |
| 1376033597 | Scott Hudzinski | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-05-14 |
| 1538656319 | Tyler R Austin | Podiatrist | 1 Medical Center Blvd, Chester, PA 19013 | 2018-04-17 |
| Find all providers in CHESTER | ||||
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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.