HEALTHDRIVE PODIATRY GROUP, PC (NPI# 1548685258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548685258 |
| Entity Type | Organization |
| Organization Name | HEALTHDRIVE PODIATRY GROUP, PC |
| Practice Address |
6700 Alexander Bell Dr Suite 200 Columbia MD 21046-2122 |
| Mailing Address |
100 Crossing Blvd Suite 300 Framingham MA 01702-5555 |
| Practice Telephone | 8889646681 |
| Practice Fax Number | 8886620859 |
| Mailing Telephone | 6179646681 |
| Mailing Fax Number | 3396862561 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-11-01 |
| Authorized Official Name | DR. SHADI ADIB ABBOUD (TREASURER/PRACTICE DIRECTOR) |
| Authorized Official Telephone | 8572550486 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 562902100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268866 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 12940 Harriet Ave S Ste 230, Burnsville, MN 55337-2794 | 2019-07-30 |
| 1689613598 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2006-06-06 |
| 1558915330 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 7600 France Ave S Ste 1100, Edina, MN 55435-5936 | 2019-07-30 |
| 1689228470 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2019-07-30 |
| 1326220674 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 12 Penns Trail, Suite 154, Newtown, PA 18940-3438 | 2007-11-28 |
| 1013106533 | Healthdrive Podiatry Group, PC | Podiatrist | 103 Carnegie Ctr, Suite 300, Princeton, NJ 08540-6235 | 2007-10-22 |
| 1831388354 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1851580377 | Healthdrive Podiatry Group, PC | Podiatrist | 100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 | 2007-10-22 |
| 1134310188 | Healthdrive Podiatry Group, PC | Prosthetic/Orthotic Supplier | 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 | 2007-08-06 |
| 1326251026 | Healthdrive Podiatry Group, PC | Podiatrist | 115 Broadway, Dobbs Ferry, NY 10522-2835 | 2007-05-08 |
| Street Address |
6700 ALEXANDER BELL DR SUITE 200 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346450152 | Vicki Lynn Cooper | Dentist | 6700 Alexander Bell Dr, Suite #120, Columbia, MD 21046-2122 | 2007-05-23 |
| 1730796533 | Golden Steps Aba Md LLC | Behavioral Analyst | 6700 Alexander Bell Dr, Columbia, MD 21046-2122 | 2020-09-25 |
| 1174065189 | Carolynn Wahl | Dental Hygienist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2016-11-08 |
| 1154793560 | Joobbani Dental Designs LLC | Dentist | 6700 Alexander Bell Dr, Suite 120, Columbia, MD 21046-2122 | 2015-10-25 |
| 1093130700 | Jeffrey L. Morer, Od, PC | Optometrist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2014-03-04 |
| 1457776155 | Alec H. Jaret, Dmd, PC | Dentist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2014-03-04 |
| 1811312515 | Mobile Audiology Associates, PC | Audiologist | 6700 Alexander Bell Dr, Suite 200, Columbia, MD 21046-2122 | 2014-03-04 |
| 1720216716 | Babak Joobbani | Dentist | 6700 Alexander Bell Dr, Suite 120, Columbia, MD 21046-2122 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| 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 |
|---|---|---|---|---|
| 1871011387 | Honored To Serve | Podiatrist | 1850 Atlantic Dr Unit 712, Columbia, SC 29210-7992 | 2017-09-05 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1528440195 | Dr Michael S. Zaleski | Podiatrist | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-06-19 |
| 1669859104 | Mobile Podiatry South Carolina | Podiatrist | 10 Summerlea Ln, Columbia, SC 29203-3915 | 2015-05-05 |
| 1922370162 | Point Podiatry | Podiatrist | 531 Broken Hill Rd, Columbia, SC 29212-3384 | 2012-02-03 |
| 1316185010 | Total Foot Care, LLC | Podiatrist | 104 Traditions Cir, Columbia, SC 29229-8050 | 2009-02-03 |
| 1972779833 | Marcela Dolores Farrer | Podiatrist | 8 Markham Ct, Columbia, SC 29229-7917 | 2008-05-01 |
| 1144420118 | Aaron Michael Owens | Podiatrist | 3203 Carrington Ln, Columbia, TN 38401-8645 | 2007-07-18 |
| 1770783862 | Keshia Elaine Oliver | Podiatrist | 4100 N Main St Ste 202, Columbia, SC 29203-5800 | 2007-07-18 |
| 1801956222 | Cruddie L. Torian, Sr, Dpm, Pa | Podiatrist | 131 Wildewood Park Dr, Columbia, SC 29223-4300 | 2006-12-08 |
| Find all providers in COLUMBIA | ||||
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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.