Active NPI
Mirkin Foot Associates PA
- Podiatrist
- Kensington, MD
National Provider Identifier
1205941192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- MIRKIN FOOT ASSOCIATES PA
- Practice address
- 10901 Connecticut Ave
Suite 200
Kensington, MD 20895-1645 - Phone
- (301) 949-2000
- Fax
- (301) 949-2002
- NPI assigned
- Aug 20, 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
- Gene S Mirkin, DPM
- Title
- President
- Phone
- (301) 949-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD | Primary |
Addresses
Primary practice location
10901 Connecticut Ave
Suite 200
Kensington, MD 20895-1645
Mailing address
2415 Musgrove Rd
Suite 103
Silver Spring, MD 20904-5200
Phone (301) 384-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061368100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
2415 Musgrove Rd
Ste 103
Silver Spring, MD 20904
Phone (301) 384-6500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Kensington, MD
- NPI 1053381095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322092800000",
"number": "1205941192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 MUSGROVE RD",
"address_2": "SUITE 103",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045200",
"telephone_number": "301-384-6500",
"fax_number": "301-384-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 CONNECTICUT AVE",
"address_2": "SUITE 200",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208951645",
"telephone_number": "301-949-2000",
"fax_number": "301-949-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIRKIN FOOT ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2011-11-24",
"status": "A",
"authorized_official_last_name": "MIRKIN",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-949-2000",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061368100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.