Douglas H Hallgren, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

213ES0103X Issued in MD

Practice address

22325 Greenview Pkwy
Great Mills, MD 20634-3491

Phone

(301) 862-3338

Fax

(301) 862-3335

NPI assigned

Aug 5, 2006

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Foot & Ankle Care Centre PA

  • Foot & Ankle Surgery Podiatrist
  • Great Mills, MD
  • NPI 1053320580
  Medicare reassignment NPD Authorized official
• St. Mary's Multi-Specialty Surgery Centre, Inc.

  • Ambulatory Surgical Clinic/Center
  • Great Mills, MD
  • NPI 1295750594
  Authorized official Same address or phone
• St. Mary's Multispecialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Great Mills, MD
  • NPI 1245249754
  Authorized official Same address or phone
• Capital Foot & Ankle Care Centre, PA

  dba Charlotte Hall Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • Charlotte Hall, MD
  • NPI 1205264363
  NPD
• Prince Georges Multi Specialty Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Landover, MD
  • NPI 1871718270
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1336158955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206191310",
            "telephone_number": "301-862-3338",
            "fax_number": "301-862-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22325 GREENVIEW PKWY",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206343491",
            "telephone_number": "301-862-3338",
            "fax_number": "301-862-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLGREN",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "213ES0103X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "00975",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483808400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilberta Campbell
• Capital Foot & Ankle Care Centre PA
• Catherine Carroll-Parker, PH.D., LCSW-C
• Peggy Clinton, LCPC
• Victoria Marie Cutchember, GMA
• Harold T Rowson , Inc
• Rabab Hasan, DDS
• David Robert Hatch
• Innerworksinc
• Tomicka Jackson-George

• Foot & Ankle Surgery Podiatrist in Great Mills, MD
• Providers in Great Mills, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.