Organization Active NPI

Michael L Gittleson, DPM

  • Podiatrist
  • Chevy Chase, MD
National Provider Identifier
1568640191
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000918 Issued in MD
Legal business name
MICHAEL L GITTLESON, DPM
Practice address
5454 Wisconsin Ave
#1250
Chevy Chase, MD 20815
Phone
(301) 986-4900
Fax
(301) 986-0002
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Michael Lloyd Gittleson, DPM
Title
Owner
Phone
(301) 986-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000918 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave
#1250
Chevy Chase, MD 20815

Mailing address

5454 Wisconsin Ave
#1250
Chevy Chase, MD 20815
Phone (301) 986-4900

National Provider Directory

National Provider Directory

Locations

5454 Wisconsin Ave
Ste 1250
Chevy Chase, MD 20815
Phone (301) 215-5955

5454 Wisconsin Ave
Ste 640
Chevy Chase, MD 20815
Phone (301) 718-3030

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1568640191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "#1250",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-986-4900",
            "fax_number": "301-986-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "#1250",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "20815",
            "telephone_number": "301-986-4900",
            "fax_number": "301-986-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L GITTLESON, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "GITTLESON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-986-4900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "000918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.