NPIMap

Organization Active NPI

DRS. Liss & Mirkin, P.a. T/a Foot & Ankle Associates

  • Ambulatory Surgical Clinic/Center
  • Kensington, MD
National Provider Identifier
1447221684
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1081 Issued in MD
Legal business name
DRS. LISS & MIRKIN, P.A. T/A FOOT & ANKLE ASSOCIATES
Practice address
10901 Connecticut Avenue
#200
Kensington, MD 20895
Phone
(301) 949-2000
Fax
(301) 949-2002
NPI assigned
Jan 27, 2006
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Gene S Mirkin, DPMNPI 1053381095
Title
Medical Director Owner
Phone
(301) 949-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1081 MD Primary

Addresses

Primary practice location

10901 Connecticut Avenue
#200
Kensington, MD 20895

Mailing address

10901 Connecticut Ave
#200
Kensington, MD 20895-1645
Phone (301) 949-2000

Other identifiers 1

IdentifierTypeStateIssuer
21C0001081OtherMDHIXA

National Provider Directory

National Provider Directory

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1447221684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "#200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951645",
            "telephone_number": "301-949-2000",
            "fax_number": "301-949-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVENUE",
            "address_2": "#200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-949-2000",
            "fax_number": "301-949-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. LISS & MIRKIN, P.A. T/A FOOT & ANKLE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MIRKIN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "301-949-2000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIXA",
            "identifier": "21C0001081",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.