FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC (NPI# 1780050542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780050542 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Practice Address |
6100 Daylong Ln Suite 208 Clarksville MD 21029-1626 |
| Mailing Address |
1600 E Gude Dr Suite 200 Rockville MD 20850-1341 |
| Practice Telephone | 4435358770 |
| Mailing Telephone | 3019337133 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | DR. DAVID FREEDMAN (VICE-PRESIDENT) |
| Authorized Official Telephone | 3015980130 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| Street Address |
6100 DAYLONG LN SUITE 208 |
| City | CLARKSVILLE |
| State | MD |
| Zip Code | 21029-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114993078 | Ross E Taubman | Podiatrist | 6100 Daylong Ln, Suite 102, Clarksville, MD 21029-1626 | 2006-02-28 |
| 1396377859 | Kimberly Ann Felder | Social Worker | 6100 Daylong Ln, Clarksville, MD 21029-1626 | 2020-02-12 |
| 1720569668 | Chaunell Lucretia Abrams | Physical Therapist | 6100 Daylong Ln, Clarksville, MD 21029-1626 | 2018-08-28 |
| 1417482605 | Tara Collins | Physical Therapist | 6100 Daylong Ln, Suite 203, Clarksville, MD 21029-1626 | 2017-04-25 |
| 1922462134 | Jennifer A Sokolosky Dmd, Pa | Dentist | 6100 Daylong Ln, Suite 105, Clarksville, MD 21029-1626 | 2016-04-13 |
| 1992054613 | Kathryn Lynn Fives | Physical Therapist | 6100 Daylong Ln, Ste 203, Clarksville, MD 21029-1626 | 2012-09-10 |
| 1902192156 | Casey Robert Friske | Podiatrist | 6100 Daylong Ln, Suite 208, Clarksville, MD 21029-1626 | 2011-06-27 |
| 1760528368 | Patrick W Gochar | Dentist | 6100 Daylong Ln, Suite 204, Clarksville, MD 21029-1626 | 2007-01-30 |
| 1598838104 | Arturo Betancourt, M.d., P.a. | Eyewear Supplier (Equipment, not the service) | 6100 Daylong Ln, Suite 207, Clarksville, MD 21029-1626 | 2006-11-15 |
| 1033212212 | Physiotherapy Associates - Nrh Rehab LLC | Clinic/Center | 6100 Daylong Ln, Suite 203, Clarksville, MD 21029-1655 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436407 | Central Maryland Oral and Facial Surgical Arts of Clarksville, LLC | Dentist | 12431 Clarksville Pike, Route 108, Clarksville, MD 21029 | 2016-09-23 |
| 1740647262 | Darren Joseph | Physical Therapist | 6151 Daylong Lane, Clarksville, MD 21029 | 2016-01-28 |
| 1619302437 | Ashley Kneale | Physical Therapist | 6408 Silent Moon Run, Clarksville, MD 21029 | 2013-09-11 |
| 1780949693 | Jane Choi Council | Optometrist | 12345 Wake Forest Rd Ste E, Clarksville, MD 21029 | 2012-07-06 |
| 1598035248 | Jeffrey Stuart Abrams | Internal Medicine | 5073ten Oaks Rd, Clarksville, MD 21029 | 2012-01-11 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1285892430 | Mary Carol Wayda | Social Worker | 5905 Tall Branches Pass, Clarksville, MD 21029 | 2008-05-23 |
| 1407978422 | Basil Saiedy Dds LLC | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| 1629329214 | Dina Michele Singer | Acupuncturist | 12451 Clarksville Pike, Clarksville, MD 21029 | 2012-09-24 |
| 1689796609 | Basil Saiedy | Dentist | 6100 Day Long Lane, Suite 101, Clarksville, MD 21029 | 2007-04-03 |
| Find all providers in zip 21029 | ||||
| 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 |
|---|---|---|---|---|
| 1790105385 | Louis Vincent Defazio II | Podiatrist | 6100 Daylong Ln Ste 208, Clarksville, MD 21029-1655 | 2014-04-22 |
| 1700174604 | Jenna Beth Vaught | Podiatrist | 746 Parkwood Dr, Clarksville, IN 47129-1273 | 2011-07-13 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1508954561 | David H. Bolonkin, Dpm, Inc | Podiatrist | 1402 Blackiston Mill Rd, Clarksville, IN 47129-2279 | 2006-10-11 |
| 1740374818 | Jeff Frank Resimont | Podiatrist | 203 W Sevier St, Clarksville, AR 72830-3627 | 2006-10-03 |
| 1982621603 | Paulo R.t. Yen | Podiatrist | 1735 Haynes St, Clarksville, TN 37043-4598 | 2006-07-17 |
| 1114993078 | Ross E Taubman | Podiatrist | 6100 Daylong Ln, Suite 102, Clarksville, MD 21029-1626 | 2006-02-28 |
| 1942200076 | Michael B. Schussler | Podiatrist | 1762 Memorial Dr, Clarksville, TN 37043-4562 | 2005-07-29 |
| 1902192156 | Casey Robert Friske | Podiatrist | 6100 Daylong Ln, Suite 208, Clarksville, MD 21029-1626 | 2011-06-27 |
| 1538332010 | David E Smith | Podiatrist | 647 Dunlop Ln, Suite 209, Clarksville, TN 37040-5165 | 2008-04-07 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 21029 |
Please comment or provide details below to improve the information on FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, 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.