Foot and Ankle Center at the Burkland Medical Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1309 Issued in MD

Legal business name

FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL CENTER INC.

Practice address

10313 Georgia Ave
Suite 201
Silver Spring, MD 20902-5006

Phone

(301) 592-0505

Fax

(301) 592-0503

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Selby Blanken, D.P.M.NPI 1194704023

Title

Owner

Phone

(301) 592-0505

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Foot and Ankle Center at the Burkland Medical Center IncCCN 21C0001309

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Steven Selby Blanken, DPM

  • Podiatrist
  • Silver Spring, MD
  • NPI 1194704023
  NPD Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1457320962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "SUITE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-592-0505",
            "fax_number": "301-592-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BLANKEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-592-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "NB5",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "293916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3441921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARTERED HEALTH",
            "identifier": "20726",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408775500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandop Marilyn Fonkeng
• Abigail Fontana
• Sylvia Lum Fontawa
• Juanita Fontenot
• Michael Fontenot, DMD
• Foot and Ankle Specialists of the Mid-Atlantic LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Foot and Ankle Surgery Center of Silver Spring, LTD

• Ambulatory Surgical Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.