NPIMap

Organization Active NPI

Capital Foot & Ankle Care Centre PA

Doing business as Prince Frederick Foot & Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Prince Frederick, MD
National Provider Identifier
1083955405
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
CAPITAL FOOT & ANKLE CARE CENTRE PA
Doing business as
Prince Frederick Foot & Ankle Care
Practice address
995 Prince Frederick Blvd
Ste. 104
Prince Frederick, MD 20678-3198
Phone
(410) 414-5033
Fax
(301) 862-3335
NPI assigned
Mar 11, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITAL FOOT & ANKLE CARE CENTRE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Robert L Vanfosson, D.P.MNPI 1194734780
Title
Vice President
Phone
(301) 862-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X MD Primary

Addresses

Primary practice location

995 Prince Frederick Blvd
Ste. 104
Prince Frederick, MD 20678-3198

Mailing address

PO Box 1310
California, MD 20619-1310
Phone (301) 862-3338

Other identifiers 1

IdentifierTypeStateIssuer
231308100MedicaidMD

Other names 1

  • Prince Frederick Foot & Ankle Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Capital Foot Ankle Care Centre PA5 organizations share this tax ID, including this one
Part of
Capital Foot Ankle Care Centre PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1083955405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206191310",
            "telephone_number": "301-862-3338",
            "fax_number": "301-862-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD",
            "address_2": "STE. 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783198",
            "telephone_number": "410-414-5033",
            "fax_number": "301-862-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL FOOT & ANKLE CARE CENTRE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL FOOT & ANKLE CARE CENTRE PA",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "VANFOSSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "301-862-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231308100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince Frederick Foot & Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.