Richard N Footer


Address: 4808 Moorland Ln, Suite 103, Bethesda, MD 20814-6131

Richard N Footer (NPI# 1689780108, PAC ID# 2264561232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1689780108
PAC ID by PECOS 2264561232
Professional Enrollment ID I20100601000365
Full Name Richard N Footer
Address 4808 Moorland Ln
Suite 103
Bethesda
MD 20814-6131
Gender M
Medical School GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090001 GEORGE WASHINGTON UNIV HOSPITAL

Other Locations

Address Phone Organization
4808 Moorland Ln, Suite 103, Bethesda, MD 20814-6131

Organization Information

Office Location

Street Address 4808 MOORLAND LN
SUITE 103
City BETHESDA
State MD
Zip 20814-6131

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Competitor

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City BETHESDA
Zip Code 20814
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty BETHESDA + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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