In Step Podiatry Center, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

IN STEP PODIATRY CENTER, LLC

Practice address

2905 Mitchellville Rd
Suite 105
Bowie, MD 20716-1385

Phone

(301) 430-0337

Fax

(301) 542-0086

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Queen MbanuzueNPI 1972769339

Title

Owner

Phone

(301) 430-0337

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8061/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Queen Mbanuzue, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bowie, MD
  • NPI 1972769339

  DC

  Medicare reassignment NPD Authorized official
• Chang Yong Kim, DPM

  • Podiatrist
  • Rockville, MD
  • NPI 1902330400

  DC

  Medicare reassignment NPD
• Lauryn R. Smith-Winton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waldorf, MD
  • NPI 1972855245

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1245527258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180683",
            "telephone_number": "301-430-0311",
            "fax_number": "301-542-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MITCHELLVILLE RD",
            "address_2": "SUITE 105",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161385",
            "telephone_number": "301-430-0337",
            "fax_number": "301-542-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063500",
            "country_code": "US",
            "telephone_number": "240-965-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN STEP PODIATRY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MBANUZUE",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-430-0337"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043167200",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "N",
            "address_1": "2905 Mitchellville Rd",
            "address_2": "Suite 105",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207161385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Bowie, MD
• Providers in Bowie, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.

Verify at the official NPI Registry.