Individual provider Active NPI

Ross E Taubman, D.P.M.

  • Podiatrist
  • Clarksville, MD
National Provider Identifier
1114993078
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00677 Issued in MD
Practice address
6100 Daylong LN
Suite 102
Clarksville, MD 21029-1626
Phone
(443) 535-8770
Fax
(443) 535-8775
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00677 MD Primary

Addresses

Primary practice location

6100 Daylong LN
Suite 102
Clarksville, MD 21029-1626

Mailing address

6100 Daylong LN
Suite 102
Clarksville, MD 21029-1626
Phone (443) 535-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00677MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
University of Maryland Pediatric Associates, PA Past Accepting new patients
Columbia Foot and Ankle Associates, PA Podiatrist PastSince Feb 26, 2001 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114993078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN",
            "address_2": "SUITE 102",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291626",
            "telephone_number": "443-535-8770",
            "fax_number": "443-535-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DAYLONG LN",
            "address_2": "SUITE 102",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291626",
            "telephone_number": "443-535-8770",
            "fax_number": "443-535-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBMAN",
        "first_name": "ROSS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.