Organization Active NPI

Foot and Ankle Specialists of MD, LLC

  • Podiatrist
  • Bethesda, MD
National Provider Identifier
1467492983
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01397 Issued in MD
Legal business name
FOOT AND ANKLE SPECIALISTS OF MD, LLC
Practice address
5225 Pooks Hill Rd
Suite 1B
Bethesda, MD 20814-2052
Phone
(301) 581-1111
Fax
(301) 581-1131
NPI assigned
Jun 7, 2006
Last updated
Aug 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Michael Liebow, DPMNPI 1801830484
Title
Doctor
Phone
(301) 581-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01397 MD Primary

Addresses

Primary practice location

5225 Pooks Hill Rd
Suite 1B
Bethesda, MD 20814-2052

Mailing address

PO Box 1774
Rockville, MD 20849-1774
Phone (301) 581-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060428000471 DC Part B Supplier - Clinic/Group Practice 4587674940 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

5225 Pooks Hill Rd
Ste 1B
Bethesda, MD 20814
Phone (301) 581-1111

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1467492983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1774",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208491774",
            "telephone_number": "301-581-1111",
            "fax_number": "301-581-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 POOKS HILL RD",
            "address_2": "SUITE 1B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142052",
            "telephone_number": "301-581-1111",
            "fax_number": "301-581-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "LIEBOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "301-581-1111",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.