PODIATRY GROUP OF WALDORF (NPI# 1942346846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942346846 |
Entity Type | Organization |
Organization Name | PODIATRY GROUP OF WALDORF |
Practice Address |
3261 Old Washington Rd Suite 1010 Waldorf MD 20602-3223 |
Practice Telephone | 3016450366 |
Practice Fax Number | 3018434773 |
Mailing Telephone | 3016450366 |
Mailing Fax Number | 3018434773 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2008-08-14 |
Authorized Official Name | MISS TERRIE LYNN BALLENGER (OFFICE MANAGER) |
Authorized Official Telephone | 3016450366 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
Podiatric Medicine & Surgery Service Providers |
Street Address |
3261 OLD WASHINGTON RD SUITE 1010 |
City | WALDORF |
State | MD |
Zip Code | 20602-3223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255321337 | Said M Ali | Obstetrics & Gynecology | 3261 Old Washington Rd, 1013, Waldorf, MD 20602-3223 | 2005-10-28 |
1477098127 | Southern Maryland General Surgery LLC | Surgery | 3261 Old Washington Rd, Suite 1012, Waldorf, MD 20602-3223 | 2017-01-04 |
1245670306 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 3261 Old Washington Rd, Suite 2011, Waldorf, MD 20602-3223 | 2013-07-03 |
1275816704 | Said M Ali Mdpc | Obstetrics & Gynecology | 3261 Old Washington Rd, Suite 1013, Waldorf, MD 20602-3223 | 2011-09-21 |
1912145707 | Phillip Sherman Ragland | Surgery | 3261 Old Washington Rd, Suite 2011, Waldorf, MD 20602-3223 | 2009-02-02 |
1518135441 | Ccrab Associates, LLC | Podiatrist | 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602-3223 | 2008-02-13 |
1376754218 | Kenneth J Sable and Assoc Inc | Chiropractor | 3261 Old Washington Rd, Suite 2010, Waldorf, MD 20602-3223 | 2007-05-24 |
1427123801 | Kenneth J Sable | Chiropractor | 3261 Old Washington Rd, Suite 2010, Waldorf, MD 20602-3223 | 2006-11-21 |
1710057401 | James William Beauchamp | Chiropractor | 3261 Old Washington Rd, Suite 2011, Waldorf, MD 20602-3223 | 2006-11-09 |
1033211891 | Bruce Allan Wenzel | Podiatrist | 3261 Old Washington Rd, Suite 1010, Waldorf, MD 20602-3223 | 2006-09-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
Find all providers in zip 20602 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750417218 | Ronald K Criss | Podiatrist | 2255 Crain Hwy, Suite #102, Waldorf, MD 20601-3186 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
1740623909 | Dr Dorothy J Powell PC | Podiatrist | 4467 Old Branch Ave Ste 105, Temple Hills, MD 20748-1854 | 2013-04-08 |
1174833735 | Dove Podiatry Pa | Podiatrist | 8817 Belair Rd Ste 109, Nottingham, MD 21236-2445 | 2010-10-18 |
1518281237 | William A Gormley, Dpm, LLC | Podiatrist | 1071 State Route 3 N Ste 203, Gambrills, MD 21054-1784 | 2010-03-24 |
1538312764 | Dr. Darlyne Cange, Dpm, LLC | Podiatrist | 1701 Eutaw Pl, Suite 140, Baltimore, MD 21217-3765 | 2008-10-31 |
1295997385 | Stacia N. Jones | Podiatrist | 151 Westway, Apt 203, Greenbelt, MD 20770-1980 | 2008-06-30 |
1699942656 | Michael Robert Smith Jr. | Podiatrist | 5610 Harford Rd, Baltimore, MD 21214-2247 | 2008-05-09 |
1174793087 | Eugene O Hudyma Dpm | Podiatrist | 7836 Oakwood Rd Ste A, Glen Burnie, MD 21061-4298 | 2008-03-06 |
1356539878 | Peter N. Brieloff, Dpm Pa | Podiatrist | 805 E Oldtown Rd, Suite B, Cumberland, MD 21502-4033 | 2007-10-10 |
1497940282 | Bowser Podiatry Pa | Podiatrist | 2001 Willowcrest Cir, Baltimore, MD 21209-3730 | 2007-09-13 |
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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.