FAMILY FOOT CLINIC OF GREATER BALTIMORE (NPI# 1902270820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902270820 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT CLINIC OF GREATER BALTIMORE |
| Practice Address |
1 Village Sq Suite 165 Baltimore MD 21210-1602 |
| Practice Telephone | 4108781340 |
| Mailing Telephone | 4108781340 |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |
| Authorized Official Name | DR. MICHAEL ROBERT SMITH JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 4108781340 |
| 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 |
01466 | MD | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1 VILLAGE SQ SUITE 165 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885068 | Stanley Brull | Ophthalmology | 1 Village Sq, Suite #190, Baltimore, MD 21210-1602 | 2005-07-19 |
| 1528342656 | Specialized Eye Care, Pa | Ophthalmology | 1 Village Sq, Suite 190, Baltimore, MD 21210-1602 | 2011-10-07 |
| 1659504348 | J. Brooks and Associates | Community/Behavioral Health | 1 Village Sq, Suite 170, Baltimore, MD 21210-1602 | 2009-08-27 |
| 1245267798 | Brett Adam Levinson | Ophthalmology | 1 Village Sq, Suite 190, Baltimore, MD 21210-1602 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| Find all providers in zip 21210 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1003940339 | Umez Podiatry, P.a. | Podiatrist | 1800 N Charles St Ste 208, Baltimore, MD 21201-5907 | 2007-03-16 |
| 1043383045 | Doughty Podiatry, P.a. | Podiatrist | 404 Eastern Blvd Ofc 1, Baltimore, MD 21221-6714 | 2006-11-16 |
| 1609969310 | Albert Shoumer | Podiatrist | 40 S. Dundalk Ave, Baltimore, MD 21222 | 2006-10-02 |
| 1730194119 | Boris Abramov | Podiatrist | 4005 7 Mile Ln Ste E, Baltimore, MD 21208-6125 | 2006-07-31 |
| 1316930035 | Joseph Blaise Girlando | Podiatrist | 7131 Liberty Rd, Suite 104, Baltimore, MD 21207-4575 | 2005-08-28 |
| 1659377877 | David Cohen | Podiatrist | 9403 Harford Rd, Baltimore, MD 21234-3123 | 2005-06-22 |
| 1376168377 | Stephanie Wu | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2020-06-15 |
| Find all providers in BALTIMORE | ||||
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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.