JOSEPH GERARD PROEBSTLE (NPI# 1972501906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972501906 |
| Entity Type | Individual |
| Full Name | JOSEPH GERARD PROEBSTLE |
| Credential | D.P.M. |
| Practice Address |
8023 Ritchie Hwy Pasadena MD 21122-7107 |
| Practice Telephone | 4107613338 |
| Practice Fax Number | 4107610265 |
| Mailing Telephone | 4107613338 |
| Mailing Fax Number | 4107610265 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 01059 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 359218900 | 05 | |
| MD | TRICARE | 455037358 | 01 |
| MD | BLUE CROSS BLUE SHIELD | CD0XJG | 01 |
| MD | BLUE CHOICE | AC99 | 01 |
| MD | RAILROAD MEDICARE | DS9585 | 01 |
| Street Address |
8023 RITCHIE HWY |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268485 | Ross Samuel Cohen | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2005-07-13 |
| 1124385505 | Pasadena Foot and Ankle Center, LLC | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2012-04-23 |
| 1336264951 | Bayside Foot & Ankle Center | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2007-03-20 |
| 1407967706 | Bayside Surgical Center, Inc. | Clinic/Center | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| 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 |
|---|---|---|---|---|
| 1720454440 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 8155 Ritchie Hwy Ste B, Pasadena, MD 21122-6931 | 2015-08-17 |
| 1629419353 | Zakia Sultana | Podiatrist | 8028 Gov Ritchie Hwy Ste 100, Pasadena, MD 21122-1020 | 2013-07-10 |
| 1942313176 | Steven Arnold Gersh | Podiatrist | 8556 Fort Smallwood Road, Suite D, Pasadena, MD 21122 | 2006-08-15 |
| 1215902457 | Welman T Lim | Podiatrist | 131 N El Molino Ave, Suite 230, Pasadena, CA 91101-1873 | 2006-02-21 |
| 1235100116 | Joseph Osler Brice | Podiatrist | 2528 Mountain Rd Ste 102, Pasadena, MD 21122-7202 | 2006-01-30 |
| 1336149962 | Jay Marc Mickenberg | Podiatrist | 8094 Edwin Raynor Blvd, Suite C, Pasadena, MD 21122-6834 | 2005-07-26 |
| 1548268485 | Ross Samuel Cohen | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2005-07-13 |
| 1801894241 | Enzo J Leone | Podiatrist | 8028 Gov Ritchie Hwy, Suite 100, Pasadena, MD 21122-1075 | 2005-07-11 |
| 1265430524 | Ira J Gottlieb | Podiatrist | 8028 Governor Ritchie Highway, Suite 100-102, Pasadena, MD 21122-1075 | 2005-07-11 |
| 1124385505 | Pasadena Foot and Ankle Center, LLC | Podiatrist | 8023 Ritchie Hwy, Pasadena, MD 21122-7107 | 2012-04-23 |
| Find all providers in PASADENA | ||||
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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.