NPIMap

Organization Active NPI

Foot & Ankle Associates DRS Liss & Mirkin PA

  • Foot & Ankle Surgery Podiatrist
  • Kensington, MD
National Provider Identifier
1619922259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
A1081 Issued in MD
Legal business name
FOOT & ANKLE ASSOCIATES DRS LISS & MIRKIN PA
Practice address
10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone
(301) 949-2000
Fax
(301) 949-2002
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gene S Mirkin, DPMNPI 1053381095
Title
Medical Doctor
Phone
(301) 969-2000

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X A1081 MD Primary

Addresses

Primary practice location

10901 Connecticut Ave
Ste 200
Kensington, MD 20895

Mailing address

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

Other names 1

  • Kensington Surgery Center Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619922259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "STE 200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-949-2000",
            "fax_number": "301-949-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 CONNECTICUT AVE",
            "address_2": "STE 200",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "301-949-2000",
            "fax_number": "301-949-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE ASSOCIATES DRS LISS & MIRKIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRKIN",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-969-2000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "A1081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.