Organization Active NPI

Family Footcare

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
National Provider Identifier
1093932337
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
M00338 Issued in MD
Legal business name
FAMILY FOOTCARE
Practice address
1900 E Northern Pkwy
Suite 204
Baltimore, MD 21239-2113
Phone
(410) 464-1284
Fax
(410) 464-1286
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Mikel Daniels, DPM
Title
Owner
Phone
(410) 363-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X M00338 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy
Suite 204
Baltimore, MD 21239-2113

Mailing address

20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479
Phone (410) 363-4343

Other names 1

  • TOWSON AMBULATORY SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345

920 Providence Rd
Towson, MD 21286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1093932337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY",
            "address_2": "SUITE 204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392113",
            "telephone_number": "410-464-1284",
            "fax_number": "410-464-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-363-4343",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "M00338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWSON AMBULATORY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.