Wayne K Knoll, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01252 Issued in MD

Legal business name

WAYNE K KNOLL, DPM

Practice address

32 Cox Rd
Huntingtown, MD 20639-9278

Phone

(410) 266-8223

Fax

(410) 535-0802

NPI assigned

Mar 3, 2008

Last updated

Jul 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne K Knoll Jr., DPM

Title

Owner

Phone

(410) 266-8223

Specialties & licenses 1

Addresses

Other names 1

• podiatry group of prince frederick Former legal business name

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1275703696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COX RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206399278",
            "telephone_number": "410-266-8223",
            "fax_number": "410-535-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COX RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206399278",
            "telephone_number": "410-266-8223",
            "fax_number": "410-535-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE K KNOLL, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-266-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "podiatry group of prince frederick",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.