NPIMap

Organization Active NPI

Physician'S Footwear

  • Durable Medical Equipment & Medical Supplies
  • Frederick, MD
National Provider Identifier
1326106139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
10835289 Issued in MD
Legal business name
PHYSICIAN'S FOOTWEAR
Practice address
63 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4384
Phone
(301) 696-0600
Fax
(303) 696-8872
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David J. Levine, D.P.M., C.PED.NPI 1134123029
Title
Owner
Phone
(301) 696-0600

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
Durable Medical Equipment & Medical Supplies 332B00000X 10835289 MD Primary

Addresses

Primary practice location

63 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4384

Mailing address

63 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4384
Phone (301) 696-0600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326106139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 THOMAS JOHNSON DR",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024384",
            "telephone_number": "301-696-0600",
            "fax_number": "301-696-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 THOMAS JOHNSON DR",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024384",
            "telephone_number": "301-696-0600",
            "fax_number": "303-696-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S FOOTWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-696-0600",
        "authorized_official_credential": "D.P.M., C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "10835289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.