NPIMap

Organization Active NPI

Frederick Foot and Ankle Specialists

Doing business as Frederick Foot and Ankle of Urbana

  • Durable Medical Equipment & Medical Supplies
  • Urbana, MD
National Provider Identifier
1548657208
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FREDERICK FOOT AND ANKLE SPECIALISTS
Doing business as
Frederick Foot and Ankle of Urbana
Practice address
3430 Worthington Blvd Ste 201
Urbana, MD 21704-7019
Phone
(301) 668-9707
Fax
(301) 668-4927
NPI assigned
Apr 21, 2015
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
Miss Yenisey Yanes, DPMNPI 1497904106
Title
Medical Director
Phone
(301) 668-9707

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3430 Worthington Blvd Ste 201
Urbana, MD 21704-7019

Mailing address

3430 Worthington Blvd Ste 201
Urbana, MD 21704-7019
Phone (301) 668-9707

Other names 1

  • Frederick Foot and Ankle of Urbana Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frederick Foot and Ankle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1548657208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD STE 201",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047019",
            "telephone_number": "301-668-9707",
            "fax_number": "301-668-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD STE 201",
            "city": "URBANA",
            "state": "MD",
            "postal_code": "217047019",
            "telephone_number": "301-668-9707",
            "fax_number": "301-668-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "YANES",
        "authorized_official_first_name": "YENISEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-668-9707",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Foot and Ankle of Urbana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, 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.