Podiatry Associates, P.a.
Organization Active NPI Primary Podiatric Medicine Podiatrist · Bel Air, MD
NPI 1487879938 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1487879938
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- Legal business name
- PODIATRY ASSOCIATES, P.A.
- Practice address
- 1 N Main St
Bel Air, MD 21014-3592 - Phone
- (410) 879-1763
- Fax
- (410) 803-1859
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Angela Baker
- Title
- Executive Director
- Phone
- (410) 879-1212
Corporate family (same tax ID) 33
Practitioners 72
-
Sun Byun, DPM
-
Cassandre C Charles, DPM
-
Michael Anthony Doughty, D.P.M.
-
Najiah Faour, D.P.M
-
Florence Marcus, D.P.M.
-
John Galloway Roth, D.P.M.
-
Kevin Terry, D.P.M.
-
Brian James Belgin, DPM
-
Charles Michael Boyd, DPM
-
Phillip Marc Cohen, DPM
-
Patrick Felton, DPM
-
William Henry Hahn, DPM
-
Joseph M Russo, DPM
-
Victor G Tritto, DPM
-
Evan K Yoo, D.P.M.
-
Eric L Diamond, DPM
-
Tobi Goldstein, DPM
-
Ogechukwu Imonugo, DPM
-
Alexandra Scrimalli Kaikis, D.P.M.
-
Ali Mumtaz, D.P.M.
-
Adam David Silverman, DPM
-
Alexandra R Spangler, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629001645 | MD | Part B Supplier - Clinic/Group Practice | 3072599943 |
Receives reassigned benefits from 33 practitioners Practice locations: Cockeysville, MD; Columbia, MD; Dundalk, MD; Gambrills, MD; Glen Burnie, MD; Hagerstown, MD; Havre de Grace, MD; Lutherville, MD… |
| O20100930092140 | MD | DME Supplier - Physician - Podiatry | 3072599943 | Practice locations: Bel Air, MD |
| O20211209000200 | DC | Part B Supplier - Clinic/Group Practice | 3072599943 |
Receives reassigned benefits from 1 practitioner Practice locations: Berwyn Heights, MD |
National Provider Directory
- Tax ID family
- V J Martorana DPM
Locations
940 Madison Ave
Ste 301
Baltimore, MD 21201
Phone (410) 462-5420
5601 Loch Raven Blvd
#400
Baltimore, MD 21239
Phone (301) 433-2500
1 N Main St
Ste 1
Bel Air, MD 21014
Phone (410) 927-3510
71 Shipping Pl
Dundalk, MD 21222
Phone (410) 282-6434
2391 Brandermill Blvd
Ste 100
Gambrills, MD 21054
Phone (410) 267-6800
1500 Blenhiem Farm Ln
Hvre de Grace, MD 21078
Phone (410) 825-4530
131 S Union Ave
Ste C
Hvre de Grace, MD 21078
Phone (410) 939-0055
9403 Harford Rd
Ste 5
Parkville, MD 21234
Phone (410) 668-6677
9114 Philadelphia Rd
Ste 308
Rosedale, MD 21237
Phone (410) 574-3900
300 E Joppa Rd
Ste B
Towson, MD 21286
Phone (410) 828-5420
535 Old Westminster Pike
Ste 105
Westminster, MD 21157
Phone (410) 433-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist |
213EP1101X | Yes |
Addresses
Primary practice location
1 N Main St
Bel Air, MD 21014-3592
Mailing address
1 N Main St
Bel Air, MD 21014-3592
Phone (410) 879-1763
Other practice location 1
1205 York Rd Ste 17
Lutherville, MD 21093-6211
Phone (410) 583-9206
Other practice location 2
795 Aquahart Rd Ste 125
Glen Burnie, MD 21061-3905
Phone (410) 768-0702
Other practice location 3
9105 Franklin Square Dr Ste 206
Baltimore, MD 21237-3954
Phone (410) 574-3900
Other practice location 4
5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364
Phone (410) 730-0970
Other practice location 5
6569 N Charles St Ste 702
Towson, MD 21204-6832
Phone (410) 828-5420
Other practice location 6
9712 Belair Rd Ste Ll3
Baltimore, MD 21236-1110
Phone (410) 256-6060
Other practice location 7
827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 462-5420
Other practice location 8
5601 Loch Raven Blvd Ste 400
Baltimore, MD 21239-2945
Phone (410) 433-2500
Other practice location 9
7131 Liberty Rd Ste 100
Baltimore, MD 21207-4580
Phone (410) 944-4000
Other practice location 10
1500 Blenhiem Farm Ln Ste C
Havre DE Grace, MD 21078-2042
Phone (410) 939-0055
Other practice location 11
2 E Rolling Xrds Ste 55
Catonsville, MD 21228-6212
Phone (410) 455-9660
Other practice location 12
10 Warren Rd Ste 130
Cockeysville, MD 21030-2518
Phone (410) 628-1066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E602 | Other | MD | BCBS-MD |
| 600968906 | Medicaid | MD | |
| E602 | Other | MD | BCBS-DC |
Other providers in Bel Air, MD
- Podiatric Physicians & Surgeons, LLC
- Podiatry Associates Ambulatory Surgical Centers LLC
- Podiatry Associates Ambulatory Surgical Centers LLC
- Podiatry Associates PA
- Podiatry Associates, P.a.
- Patricia Mary Poet
- Brittany Pollard
- Margaret Pons
- Adam J Popchak
- Eugene Bernard Popiolek Jr.
All providers in Bel Air, MD · Primary Podiatric Medicine Podiatrist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.