Foot and Ankle Specialists of Greater Baltimore Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01308 Issued in MD

Legal business name

FOOT AND ANKLE SPECIALISTS OF GREATER BALTIMORE INC

Practice address

7809 Wise Ave
Dundalk, MD 21222-3339

Phone

(410) 288-0666

Fax

(410) 288-0667

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

David Deiboldt

Title

President

Phone

(240) 731-9219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1629571864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 ELMWOOD RD",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592504",
            "telephone_number": "240-731-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "410-288-0666",
            "fax_number": "410-288-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF GREATER BALTIMORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "DEIBOLDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-731-9219"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Ferri
• Diana Fertsch, MD PHD
• Jordan Carter Fields, LCSW
• First Step Youth and Family Services, LLC
• Sharon Flippen
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Mary Patrice Forbes, PT
• Arnold R Forman, DPM
• Sigourney Frazier, LMSW
• Free State Physical Therapy, LLC

• Podiatrist in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.