Louis V Defazio (NPI# 1790105385, PAC ID# 4789987934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1790105385 |
| PAC ID by PECOS | 4789987934 |
| Professional Enrollment ID | I20170818000812 |
| Full Name | Louis V Defazio |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC |
| Address |
129 Lubrano Dr Suite 303 Annapolis MD 21401-7568 |
| Phone Number | 4102667575 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6305017633 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210048 | HOWARD COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 129 Lubrano Dr, Suite 303, Annapolis, MD 21401-7568 | 4102667575 | FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC |
| 63 Thomas Johnson Dr C, Frederick, MD 21702-4396 | 3016960818 | FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC |
| Organization Legal Name | FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Nathaniel Birkel | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 66 Pkwy Ln, Suite 102, Fishersville, VA 22939-2385 |
| Colleen M Law | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 887 A Rio E Ct, Charlottesville, VA 22901-8004 |
| Randall James Contento | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 251 Wilmot Dr, Gastonia, NC 28054-4048 |
| Sana J Shamim | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 63 Thomas Johnson Dr C, Frederick, MD 21702-4396 |
| Alexander Charles Mount | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 1465 Johnston Willis Dr, North Chesterfield, VA 23235-4730 |
| Michael Tritto | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 11801 Rockville Pike, Suite 105, Rockville, MD 20852-2714 |
| Adam K Spector | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| David R Kirlin | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 1418 E Millbrook Rd, Raleigh, NC 27609-4812 |
| David J Levine | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 8028 Ritchie Hwy 100, Pasadena, MD 21122-1020 |
| Gene S Mirkin | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 10901 Conn Ave, Suite 200, Kensington, MD 20895-1645 |
| Street Address |
129 LUBRANO DR SUITE 303 |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21401-7568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyn N Dea | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Urja Shah | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 129 Lubrano Dr, Suite 303, Annapolis, MD 21401-7568 |
| Christine Jones | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Tamara Lynn Welch | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Duane M Gels | Allergy/immunology | 129 Lubrano Dr, Suite 200, Annapolis, MD 21401-7567 | |
| Patricia P Jett | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Michael S Riebman | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Arun Bhandari | Hematology/oncology | Chesapeake Oncology Hematology Assoc | 129 Lubrano Dr, Suite 201, Annapolis, MD 21401-7567 |
| William E Behrens | Family Medicine | Maryland Primary Care Physicians, LLC | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
| James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
| Find all physicians in zip 21401 | |||
| City | ANNAPOLIS |
| Zip Code | 21401 |
| Specialty | PODIATRY |
| City + Specialty | ANNAPOLIS + PODIATRY |
Please comment or provide details below to improve the information on Louis V Defazio.
| 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.