Active NPI
Free State Podiatry
- Foot & Ankle Surgery Podiatrist
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FREE STATE PODIATRY
- Practice address
- 50 Post Office Rd Ste 304
Waldorf, MD 20602-3704 - Phone
- (202) 258-4692
- NPI assigned
- Jun 28, 2023
- Last updated
- Sep 4, 2023
- 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
- Justin Pointer, PDM
- Title
- Owner
- Phone
- (202) 258-4692
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
50 Post Office Rd Ste 304
Waldorf, MD 20602-3704
Mailing address
PO Box 2850
Springfield, VA 22152-0850
Phone (202) 258-4692
National Provider Directory
National Provider DirectoryLocations
50 Post Office Rd
Ste 304
Waldorf, MD 20602
Phone (240) 349-2448
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.
-
- Foot & Ankle Surgery Podiatrist
- Waldorf, MD
- NPI 1659636082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693785600000",
"number": "1518644061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2850",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221520850",
"telephone_number": "202-258-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 POST OFFICE RD STE 304",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023704",
"telephone_number": "202-258-4692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREE STATE PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A",
"authorized_official_last_name": "POINTER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-258-4692",
"authorized_official_credential": "PDM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Suzan Francis, EDD
- Candace Franklin
- Lakeesha Antoinette Franklin, PA
- Frederick J Sauerburger MD PA
- Free Baltimore, LLC (Wholistic Behavioral Health)
- Alexis Nicole Freeman, RN, IBCLC
- Horace Ainsley Freeman, DDS
- Fresenius Medical Care Charles County, LLC (Fresenius Kidney Care Waldorf West)
- Fresenius Medical Care Southern Maryland Home, LLC (FMC Dialysis Services Waldorf)
- Nji Julius Fru
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.