Active NPI
Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Podiatrist
- Mount Airy, MD
National Provider Identifier
1538660204
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
- 1502 S Main St Ste 307
Mount Airy, MD 21771-5375 - Phone
- (301) 696-0818
- NPI assigned
- Feb 27, 2018
- Organization subpart
- Yes
- Parent organization
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
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
1502 S Main St Ste 307
Mount Airy, MD 21771-5375
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180607003295 | MD | DME Supplier - Physician - Podiatry | 6305017633 | Practice locations: Mount Airy, MD |
National Provider Directory
National Provider Directory- Part of
- Foot and Ankle Specialists of the Mid-Atlantic LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1538660204",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 S MAIN ST STE 307",
"city": "MOUNT AIRY",
"state": "MD",
"postal_code": "217715375",
"telephone_number": "301-696-0818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"enumeration_date": "2018-02-27",
"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 Mount Airy, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.