Charm City Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01343 Issued in MD

Legal business name

CHARM CITY PODIATRY, LLC

Practice address

7505 Osler Dr
Suite 307
Towson, MD 21204-7736

Phone

(410) 828-7200

Fax

(410) 828-7201

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tina Marie Woodburn, D.P.M.

Title

Podiatrist/Owner

Phone

(410) 828-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1386837581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 307",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-828-7200",
            "fax_number": "410-828-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 307",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-828-7200",
            "fax_number": "410-828-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM CITY PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "WOODBURN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "410-828-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Kathleen Chapman, RDN, LDN
• Charles Haile MD
• Charles Street OBGYN Assiociates
• Heather Charles, M.A., C.A.S.
• Charm City Mental Health Practice, LLC
• Charmmed Services, LLC
• Sarah Tyler Charvat, MS
• Adrienne Chase
• Chatford Manor Behavioral & Residential Services, LLC.
• Chatford Manor Behavioral Services LLC

• Foot & Ankle Surgery Podiatrist in Towson, MD
• Providers in Towson, 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 Oct 23, 2009; 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.