NPIMap

Organization Active NPI

Maryland Foot & Ankle Restoration, LLC

  • Foot & Ankle Surgery Podiatrist
  • Hyattsville, MD
National Provider Identifier
1528736774
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MARYLAND FOOT & ANKLE RESTORATION, LLC
Practice address
6505 Belcrest Rd Ste 1
Hyattsville, MD 20782-2011
Phone
(301) 699-5900
Fax
(301) 699-9297
NPI assigned
Sep 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Johny J MotranNPI 1033315031
Title
Podiatric Surgeon/Medical Director
Phone
(301) 699-5900

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
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

6505 Belcrest Rd Ste 1
Hyattsville, MD 20782-2011

Mailing address

PO Box 83849
Gaithersburg, MD 20883-3849

National Provider Directory

National Provider Directory
Tax ID family
Maryland Foot Ankle Restoration LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1528736774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83849",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208833849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 BELCREST RD STE 1",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822011",
            "telephone_number": "301-699-5900",
            "fax_number": "301-699-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND FOOT & ANKLE RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "MOTRAN",
        "authorized_official_first_name": "JOHNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIC SURGEON/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-699-5900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.