Mitchell a Barber DPM ASC LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

01305 Issued in MD

Legal business name

MITCHELL A BARBER DPM ASC LLC

Practice address

7350 Van Dusen Rd
Suite 310
Laurel, MD 20707-5264

Phone

(301) 490-2216

Fax

(301) 490-6705

NPI assigned

Oct 25, 2006

Last updated

Mar 13, 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

Mitchell A Barber, DPMNPI 1003916164

Title

President

Phone

(301) 490-2216

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Mitchell a Barber DPM ASC LLCCCN 21C0001231

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell A Barber, DPM

  • Foot Surgery Podiatrist
  • Laurel, MD
  • NPI 1003916164
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1285718981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211110374",
            "telephone_number": "443-522-9749",
            "fax_number": "443-522-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 310",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075264",
            "telephone_number": "301-490-2216",
            "fax_number": "301-490-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL A BARBER DPM ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-490-2216",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MD",
            "license": "01305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miso Medical Center
• Miso Medical Center
• Miso Medical Center
• Miso Medical Center
• Nadine Carole Missiet Fogoum, CRNP
• Mitchell a Barber DPM LLC
• Colleen Denise Mitchell, PH.D.
• Denise Louise Mitchell, LCPC
• Evelyn Elizabeth Mitchell, LPC
• Sonya Mitchell, OT

• Podiatric Clinic/Center in Laurel, MD
• Providers in Laurel, 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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.