Medstar Medical Group II, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

MEDSTAR MEDICAL GROUP II, LLC

Practice address

5601 Loch Raven Blvd Ste 101
Baltimore, MD 21239-2945

Phone

(443) 444-2876

Fax

(443) 444-1487

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDSTAR MEDICAL GROUP II, LLCAs reported in NPPES

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

Authorized official

Name

Ms. Stephanie Schneider

Title

VP

Phone

(703) 558-1403

Specialties & licenses 2

Addresses

Other names 1

• MMG PODIATRY Other name

Part of

Medstar Medical Group II LLC

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1316590706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 600",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012900",
            "telephone_number": "703-558-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392945",
            "telephone_number": "443-444-2876",
            "fax_number": "443-444-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR MEDICAL GROUP II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAR MEDICAL GROUP II, LLC",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-558-1403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMG PODIATRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Podiatrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.