Advance Foot Care and Medical Services,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01235 Issued in MD

Legal business name

ADVANCE FOOT CARE AND MEDICAL SERVICES,LLC

Practice address

4801 Liberty Heights Ave
Baltimore, MD 21207-7157

Phone

(410) 466-2124

Fax

(410) 466-2154

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Steven W Bennett, D.P.M.

Title

MBR/MGR

Phone

(410) 466-2124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1154612158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077157",
            "telephone_number": "410-466-2124",
            "fax_number": "410-466-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212077157",
            "telephone_number": "410-466-2124",
            "fax_number": "410-466-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FOOT CARE AND MEDICAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MBR/MGR",
        "authorized_official_telephone_number": "410-466-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.