NPIMap

Organization Active NPI

Potomac Podiatry

  • Foot & Ankle Surgery Podiatrist
  • North Potomac, MD
National Provider Identifier
1235319948
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01315 Issued in MD
Legal business name
POTOMAC PODIATRY
Practice address
11906 Darnestown Rd
Suite # G
North Potomac, MD 20878-2200
Phone
(301) 216-2269
Fax
(301) 216-0288
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Fariba Azizinamini, D.P.M.
Title
Owner
Phone
(301) 216-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01315 MD Primary

Addresses

Primary practice location

11906 Darnestown Rd
Suite # G
North Potomac, MD 20878-2200

Mailing address

11906 Darnestown Rd
Suite # G
North Potomac, MD 20878-2200
Phone (301) 216-2269

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1235319948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD",
            "address_2": "SUITE # G",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-216-2269",
            "fax_number": "301-216-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD",
            "address_2": "SUITE # G",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-216-2269",
            "fax_number": "301-216-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "AZIZINAMINI",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-216-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.