Active NPI
Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Podiatrist
- Hagerstown, MD
National Provider Identifier
1487009155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- Practice address
- 11110 Medical Campus Rd
Suite 100
Hagerstown, MD 21742-6700 - Phone
- (301) 739-1575
- NPI assigned
- Apr 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Freedman
- Title
- Vice President
- Phone
- (301) 598-0130
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 100
Hagerstown, MD 21742-6700
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Phone (301) 933-7133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181030001020 | MD | DME Supplier - Physician - General Practice | 6305017633 | Practice locations: Hagerstown, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2216057 | Foot and Ankle Specialists of the Mid-Atlantic LLC | Certificate of waiver | Mar 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Foot and Ankle Specialists of the Mid-Atlantic LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Podiatrist
- Ocean City, MD
- NPI 1114613601
-
- Podiatrist
- Rockville, MD
- NPI 1568340545
-
- Podiatrist
- Cambridge, MD
- NPI 1659067148
-
- Podiatrist
- Salisbury, MD
- NPI 1801156815
-
- Podiatrist
- Abingdon, MD
- NPI 1932456126
-
- Podiatrist
- Frederick, MD
- NPI 1124494828
-
- Podiatrist
- Bethesda, MD
- NPI 1174278543
-
- Podiatrist
- Annapolis, MD
- NPI 1184090144
-
- Podiatrist
- Lutherville, MD
- NPI 1194596999
-
- Podiatrist
- Kensington, MD
- NPI 1265808968
-
- Podiatrist
- Greenbelt, MD
- NPI 1275909970
-
- Podiatrist
- Suitland, MD
- NPI 1285389643
Locations
11110 Medical Campus Rd
Ste 100
Hagerstown, MD 21742
Phone (301) 739-1575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1487009155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825159",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825159",
"telephone_number": "301-933-7133",
"fax_number": "301-933-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 100",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-739-1575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-29",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "301-598-0130"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.