Active NPI
Ruth Latanya Gilliam-Phillips, DPM
- Podiatrist
- Glen Burnie, MD
National Provider Identifier
1245230275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 01250
- Practice address
- 7575 Ritchie Hwy
Glen Burnie, MD 21061-8951 - Phone
- (410) 766-1444
- Fax
- (410) 766-9453
- NPI assigned
- Aug 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01250 | MD | Primary |
Addresses
Primary practice location
7575 Ritchie Hwy
Glen Burnie, MD 21061-8951
Mailing address
7575 Ritchie Hwy
Glen Burnie, MD 21061-8951
Phone (410) 766-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54686502 | Other | MD | BSMD |
Other names 1
- Ruth Latanya Gilliam
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01250 | MD | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245230275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210618951",
"telephone_number": "410-766-1444",
"fax_number": "410-766-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 RITCHIE HWY",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210618951",
"telephone_number": "410-766-1444",
"fax_number": "410-766-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM-PHILLIPS",
"first_name": "RUTH",
"middle_name": "LATANYA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSMD",
"identifier": "54686502",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "GILLIAM",
"middle_name": "LATANYA",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.