NPIMap

Organization Active NPI

Affiliated Podiatrists PA

  • Podiatrist
  • Baltimore, MD
National Provider Identifier
1306222138
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
W000473 Issued in MD
Legal business name
AFFILIATED PODIATRISTS PA
Practice address
1625 E Fort Ave
Baltimore, MD 21230-5245
Phone
(410) 825-2443
Fax
(410) 321-7040
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Carole Cohen
Title
Business Manager
Phone
(410) 825-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X W000473 MD Primary

Addresses

Primary practice location

1625 E Fort Ave
Baltimore, MD 21230-5245

Mailing address

7402 York Rd
Suite 104
Towson, MD 21204-7532
Phone (410) 825-2443

Other identifiers 1

IdentifierTypeStateIssuer
981408617MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Affiliated Podiatrists PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1625 E Ft Ave
Baltimore, MD 21230
Phone (410) 825-2443

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1306222138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 YORK RD",
            "address_2": "SUITE 104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047532",
            "telephone_number": "410-825-2443",
            "fax_number": "410-321-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305245",
            "telephone_number": "410-825-2443",
            "fax_number": "410-321-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED PODIATRISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-825-2443"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "W000473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981408617",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.