Organization Active NPI

Ocean City Foot & Ankle P a

  • Podiatrist
  • Ocean Pines, MD
National Provider Identifier
1083897078
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01303 Issued in MD
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

Updated by the provider on Dec 21, 2010

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1649284381OtherMDNPI
4325810001OtherMDNHIC, CORP
021602000MedicaidMD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.