Active NPI
Ocean City Foot & Ankle P a
- Podiatrist
- Ocean Pines, MD
National Provider Identifier
1083897078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01303
- Legal business name
- OCEAN CITY FOOT & ANKLE P A
- Practice address
- 11200 Racetrack Rd Ste A104
Ocean Pines, MD 21811-3809 - Phone
- (410) 208-6237
- Fax
- (410) 208-0754
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Jamrok, DPM
- Title
- President
- Phone
- (410) 208-6237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01303 | MD | Primary |
Addresses
Primary practice location
11200 Racetrack Rd Ste A104
Ocean Pines, MD 21811-3809
Mailing address
11200 Racetrack Rd Ste A104
Ocean Pines, MD 21811-3809
Phone (410) 208-6237
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649284381 | Other | MD | NPI |
| 4325810001 | Other | MD | NHIC, CORP |
| 021602000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1083897078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 RACETRACK RD STE A104",
"city": "OCEAN PINES",
"state": "MD",
"postal_code": "218113809",
"telephone_number": "410-208-6237",
"fax_number": "410-208-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 RACETRACK RD STE A104",
"city": "OCEAN PINES",
"state": "MD",
"postal_code": "218113809",
"telephone_number": "410-208-6237",
"fax_number": "410-208-0754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN CITY FOOT & ANKLE P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "JAMROK",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-208-6237",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MD",
"license": "01303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1649284381",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC, CORP",
"identifier": "4325810001",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021602000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Pines, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.