Organization Active NPI

Elkton Foot and Ankle Center, PA

  • Foot & Ankle Surgery Podiatrist
  • Elkton, MD
National Provider Identifier
1669730537
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01419 Issued in MD
Legal business name
ELKTON FOOT AND ANKLE CENTER, PA
Practice address
205 E Main St Ste 111
Elkton, MD 21921
Phone
(410) 398-6576
Fax
(410) 398-8241
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Breck Laudenberger, DPM
Title
Owner/Ceo
Phone
(410) 398-6576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01419 MD Primary

Addresses

Primary practice location

205 E Main St Ste 111
Elkton, MD 21921

Mailing address

205 E Main St Ste 111
Elkton, MD 21921-5779
Phone (410) 398-6576

Other practice location 1

273 Mackall St
Elkton, MD 21921-5258
Phone (410) 398-6576

Other practice location 2

273 Mackall St
Elkton, MD 21921-5258
Phone (410) 398-6576

National Provider Directory

National Provider Directory

Locations

205 E Main St
Ste 111
Elkton, MD 21921
Phone (410) 398-6576

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1669730537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 111",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215779",
            "telephone_number": "410-398-6576",
            "fax_number": "410-398-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 111",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-398-6576",
            "fax_number": "410-398-8241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Mackall St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215258",
            "country_code": "US",
            "telephone_number": "410-398-6576",
            "fax_number": "410-398-8241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 Mackall St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215258",
            "country_code": "US",
            "telephone_number": "410-398-6576",
            "fax_number": "410-398-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELKTON FOOT AND ANKLE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "LAUDENBERGER",
        "authorized_official_first_name": "BRECK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-398-6576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.