Ambulatory Foot and Ankle Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1260 Issued in MD

Legal business name

AMBULATORY FOOT AND ANKLE CENTER, INC.

Practice address

3801 International Dr
Suite 204
Silver Spring, MD 20906-1550

Phone

(301) 598-0130

Fax

(301) 598-5091

NPI assigned

Aug 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David J Freedman, DPM

Title

Medical Director/Owner

Phone

(301) 598-0130

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Ambulatory Foot and Ankle Center IncCCN 21C0001260

Medicare certification status

Terminated Voluntary: merger or closure, Sep 1, 2023From the Provider of Services file

Locations

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1679566228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-0130",
            "fax_number": "301-598-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR",
            "address_2": "SUITE 204",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-0130",
            "fax_number": "301-598-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY FOOT AND ANKLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "301-598-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130204300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.