NPIMap

Organization Active NPI

Podiatry Associates, P.a.

  • Podiatrist
  • Cockeysville, MD
National Provider Identifier
1285259192
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY ASSOCIATES, P.A.
Practice address
110 Old Padonia Rd Ste 301
Cockeysville, MD 21030-4948
Phone
(410) 628-1066
Fax
(410) 683-1354
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Francis Lance Conda
Title
Credentialing Manager
Phone
(410) 927-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

110 Old Padonia Rd Ste 301
Cockeysville, MD 21030-4948

Mailing address

1 N Main St
Bel Air, MD 21014-3592
Phone (410) 879-1212

Other identifiers 1

IdentifierTypeStateIssuer
1487879938MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2242096Podiatry Associates P a Ambulatory Surgical Center110 Old Padonia Rd Suite 301, Cockeysville, MD 21030Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
V J Martorana DPM34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

110 Old Padonia Rd
Ste 300
Cockeysville, MD 21030
Phone (410) 252-5777

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1285259192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143592",
            "telephone_number": "410-879-1212",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OLD PADONIA RD STE 301",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304948",
            "telephone_number": "410-628-1066",
            "fax_number": "410-683-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "CONDA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "410-927-3510"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487879938",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.