Organization Active NPI

Markham Foot &Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Odenton, MD
National Provider Identifier
1649465261
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01399 Issued in MD
Legal business name
MARKHAM FOOT &ANKLE CLINIC
Practice address
1215 Annapolis Rd
Suite 104
Odenton, MD 21113-1344
Phone
(410) 672-0464
Fax
(410) 551-4710
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Charles Frank Markham, D.P.M.
Title
Owner
Phone
(410) 672-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01399 MD Primary

Addresses

Primary practice location

1215 Annapolis Rd
Suite 104
Odenton, MD 21113-1344

Mailing address

1215 Annapolis Road
Suite 104
Odenton, MD 21113
Phone (410) 672-0464

Other identifiers 1

IdentifierTypeStateIssuer
40709760000MedicaidMD

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": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1649465261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ANNAPOLIS ROAD",
            "address_2": "SUITE 104",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "21113",
            "telephone_number": "410-672-0464",
            "fax_number": "410-551-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ANNAPOLIS RD",
            "address_2": "SUITE 104",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131344",
            "telephone_number": "410-672-0464",
            "fax_number": "410-551-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKHAM FOOT &ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-672-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40709760000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.