Active NPI
Metropolitian Podiatry Assoc PLLC
- Podiatrist
- Washington, DC
National Provider Identifier
1174616585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO582
- Legal business name
- METROPOLITIAN PODIATRY ASSOC PLLC
- Practice address
- 7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630 - Phone
- (202) 882-9682
- Fax
- (202) 882-4983
- NPI assigned
- Sep 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie Berthie Labissiere, DPM
- Title
- Partner
- Phone
- (202) 882-9682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO582 | DC | Primary |
Addresses
Primary practice location
7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630
Mailing address
7603 Georgia Ave NW Ste 100
Washington, DC 20012-1630
Phone (202) 882-9682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027002300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Washington, DC
- NPI 1811080229
-
- Podiatrist
- Washington, DC
- NPI 1821181223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592265600000",
"number": "1174616585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7603 GEORGIA AVE NW STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121630",
"telephone_number": "202-882-9682",
"fax_number": "202-882-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7603 GEORGIA AVE NW STE 100",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200121630",
"telephone_number": "202-882-9682",
"fax_number": "202-882-4983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METROPOLITIAN PODIATRY ASSOC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A",
"authorized_official_last_name": "LABISSIERE",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "BERTHIE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "202-882-9682",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "DC",
"license": "PO582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027002300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.