Soffer Foot and Ankle Care, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

01525 Issued in MD

Legal business name

SOFFER FOOT AND ANKLE CARE, LLC

Practice address

110 Hospital Rd
Suite 215
Prince Frederick, MD 20678-4019

Phone

(410) 775-4000

NPI assigned

Oct 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Eric Benjamin Soffer, D.P.M.NPI 1689802118

Title

Sole Proprietor

Phone

(410) 775-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Eric Benjamin Soffer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Prince Frederick, MD
  • NPI 1689802118
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1245668060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 215",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-775-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 215",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-775-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFFER FOOT AND ANKLE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "SOFFER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "410-775-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "01525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Smith, OT
• Jinaki Tamu Smith, O.D.
• Myrka Marly Smith, MD
• Shannon Smith, OTR/L
• Syreeta Smith, RBT
• Diana Soffer, M.D.
• Eric Benjamin Soffer, DPM
• Southern Maryland Associates
• Southern Maryland Community Network, Inc
• Southern Maryland Community Network, Inc.

• Podiatric Clinic/Center in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Podiatric Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.