Loft Soles Podiatry LLC

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

License

01510 Issued in MD

Legal business name

LOFT SOLES PODIATRY LLC

Practice address

7671 Quarterfield Rd Ste 302
Glen Burnie, MD 21061-4525

Phone

(410) 768-0074

Fax

(410) 768-0075

NPI assigned

Dec 24, 2015

Organization subpart

No

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

Authorized official

Name

Donald Ernest Harrison, DPMNPI 1134376247

Title

Podiatrist

Phone

(443) 826-7681

Specialties & licenses 1

Addresses

Other names 1

• Foot and Ankle Institute of Maryland Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Donald Harrison, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pasadena, MD
  • NPI 1134376247
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1396100905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614525",
            "telephone_number": "410-768-0074",
            "fax_number": "410-768-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7671 QUARTERFIELD RD STE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614525",
            "telephone_number": "410-768-0074",
            "fax_number": "410-768-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFT SOLES PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-24",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "443-826-7681",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "MD",
            "license": "01510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Institute of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nichole Alisa Lombardo, MA, LGPC
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• Madison Long, PT, DPT
• Sarah Elizabeth Longo, P.A.

• Podiatrist in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.