NPIMap

Organization Active NPI

Podiatry Group of Annapolis Ambulatory Surgical Center

Doing business as Podiatry Group of Annapolis Ambulatory Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Annanpolis, MD
National Provider Identifier
1285736207
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1134 Issued in MD
Legal business name
PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER
Doing business as
Podiatry Group of Annapolis Ambulatory Surgical Center LLC
Practice address
139 Old Solomons Island Road
Suite C
Annanpolis, MD 21401-0902
Phone
(410) 224-4448
Fax
(443) 949-9539
NPI assigned
Sep 1, 2006
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. James M McKee, DPMNPI 1164531752
Title
Owner
Phone
(410) 224-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1134 MD Primary

Addresses

Primary practice location

139 Old Solomons Island Road
Suite C
Annanpolis, MD 21401-0902

Mailing address

139 Old Solomons Island Road
Suite C
Annanpolis, MD 21401-0902
Phone (410) 224-4448

Other identifiers 16

IdentifierTypeStateIssuer
402820100MedicaidMD
522197293OtherTRICARE
60853301OtherCAREFIRST BC BS
706667OtherAETNA
5147492OtherAETNA
6949277OtherCIGNA
336913OtherGEHA
336913OtherMAMSI LIFE & HEALTH
ZZ22OtherPTAN
336913OtherFELRA
706667OtherAETNA HMO TRADITIONAL
336913OtherALLIANCE
483463OtherNCPPO
79740000OtherFEDERAL EMPLOYEE PROGRAM
NH8OtherGHMSI
336913OtherMDIPA

Other names 1

  • Podiatry Group of Annapolis Ambulatory Surgical Center LLC Doing business as

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Podiatry Group of Annapolis Ambulatory Surgical CenterCCN 21C0001134
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

139 Old Solomons Island Rd
Annapolis, MD 21401
Phone (410) 224-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8913/brand/2/csg/21/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1285736207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE C",
            "city": "ANNANPOLIS",
            "state": "MD",
            "postal_code": "214010902",
            "telephone_number": "410-224-4448",
            "fax_number": "443-949-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 OLD SOLOMONS ISLAND ROAD",
            "address_2": "SUITE C",
            "city": "ANNANPOLIS",
            "state": "MD",
            "postal_code": "214010902",
            "telephone_number": "410-224-4448",
            "fax_number": "443-949-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-224-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402820100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "522197293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "60853301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "706667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5147492",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6949277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "336913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH",
            "identifier": "336913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZ22",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FELRA",
            "identifier": "336913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO TRADITIONAL",
            "identifier": "706667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "336913",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "483463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYEE PROGRAM",
            "identifier": "79740000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "NH8",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "336913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Group of Annapolis Ambulatory Surgical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.