Active NPI
Mann & Henry Podiatry Services, LLC
- Podiatrist
- Frederick, MD
National Provider Identifier
1265459606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC004183R
- Legal business name
- MANN & HENRY PODIATRY SERVICES, LLC
- Practice address
- 7101 Guilford Dr
Suite 204
Frederick, MD 21704-5193 - Phone
- (301) 694-8880
- Fax
- (301) 663-0959
- NPI assigned
- Jul 15, 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
- Scott M. Henry, D.P.M.
- Title
- President
- Phone
- (717) 334-1825
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 01223 | MD | |
| Podiatrist | 213E00000X | SC004183R | PA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01223 | MD | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC004183R | PA |
Addresses
Primary practice location
7101 Guilford Dr
Suite 204
Frederick, MD 21704-5193
Mailing address
7101 Guilford Dr
Suite 204
Frederick, MD 21704-5193
Phone (301) 694-8880
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015596180001 | Medicaid | PA | |
| 0015596180004 | Medicaid | PA | |
| 549685364 | Medicaid | MD | |
| 1255324539 | Medicaid | PA | |
| 410156100 | Medicaid | MD | |
| 1017481350001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Gettysburg, PA
- NPI 1841512654
Member Of
Locations
7101 Guilford Dr
Ste 204
Frederick, MD 21704
Phone (301) 663-6861
10 N Jefferson St
Frederick, MD 21701
Phone (301) 514-4745
7101 Guilford Dr
Frederick, MD 21704
Phone 2404648000 ext. 2014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1265459606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 GUILFORD DR",
"address_2": "SUITE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045193",
"telephone_number": "301-694-8880",
"fax_number": "301-663-0959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 GUILFORD DR",
"address_2": "SUITE 204",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217045193",
"telephone_number": "301-694-8880",
"fax_number": "301-663-0959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANN & HENRY PODIATRY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-334-1825",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MD",
"license": "01223",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "PA",
"license": "SC004183R",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01223",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC004183R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015596180001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015596180004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "549685364",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255324539",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410156100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017481350001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.