NPIMap

Organization Active NPI

Podiatry Associates PA

  • Podiatrist
  • Columbia, MD
National Provider Identifier
1609253269
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY ASSOCIATES PA
Practice address
5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364
Phone
(410) 730-0970
Fax
(410) 730-0161
NPI assigned
May 4, 2015
Organization subpart
Yes
Parent organization
PODIATRY ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Erin Taylor
Title
Credentialing
Phone
(410) 420-4325

Specialties & licenses 1

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

Addresses

Primary practice location

5500 Knoll North Dr Ste 440
Columbia, MD 21045-2364

Mailing address

1 N Main St
Bel Air, MD 21014-3592
Phone (410) 879-1763

Other identifiers 3

IdentifierTypeStateIssuer
E602OtherMDBCBS-MD
E602OtherMDBCBS-DC
600968901MedicaidMD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2014126Podiatry Associates, ASC5500 Knoll North Drive Suite 440, Columbia, MD 21045Certificate of waiverSep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
V J Martorana DPM34 organizations share this tax ID, including this one
Part of
V J Martorana DPM

Other organizations with this tax ID 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1609253269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143592",
            "telephone_number": "410-879-1763",
            "fax_number": "410-803-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR STE 440",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452364",
            "telephone_number": "410-730-0970",
            "fax_number": "410-730-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PODIATRY ASSOCIATES PA",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "410-420-4325"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MD",
            "identifier": "E602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-DC",
            "identifier": "E602",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600968901",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.