In Step Podiatry Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IN STEP PODIATRY SURGERY CENTER

Practice address

2905 Mitchellville Rd Ste 105
Bowie, MD 20716-3953

Phone

(301) 430-0337

Fax

(240) 244-0617

NPI assigned

Jul 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Queen Mbanuzue, DPM

Title

Medical Director

Phone

(443) 300-8661

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001683

Legal name

In Step Podiatry Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 3, 2024

Last certification

Mar 8, 2024

Ownership / control type

Proprietary

Facility address

2905 Mitchellville Road, Suite 105
Bowie, MD 20716

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1023744240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD STE 105",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163953",
            "telephone_number": "301-430-0337",
            "fax_number": "240-244-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN STEP PODIATRY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "MBANUZUE",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "443-300-8661",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://athenanet.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "In Step Podiatry Center, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "One Point",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "record sharing",
            "address_1": "2905 Mitchellville Rd Ste 105",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Bowie, MD
• Providers in Bowie, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.