Active NPI
Chesapeake Family Foot Care, PA
- Podiatrist
- Easton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- CHESAPEAKE FAMILY FOOT CARE, PA
- Practice address
- 611 Dutchmans LN
Suite C
Easton, MD 21601 - Phone
- (410) 822-0991
- Fax
- (410) 822-0577
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Deborja, D.P.M.
- Title
- President
- Phone
- (410) 822-0991
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
611 Dutchmans LN
Suite C
Easton, MD 21601
Mailing address
PO Box 705
Easton, MD 21601-8912
Phone (410) 822-0991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414000494 | MD | Part B Supplier - Clinic/Group Practice | 4486648136 |
Receives reassigned benefits from 1 practitioner Practice locations: Easton, MD; Pasadena, MD |
| O20100930099908 | MD | DME Supplier - Physician - Podiatry | 4486648136 | Practice locations: Easton, MD |
National Provider Directory
National Provider Directory- Tax ID family
- Chesapeake Family Foot Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Pasadena, MD
- NPI 1528256005
Locations
506 Idlewild Ave
Easton, MD 21601
Phone (410) 820-0038
611 Dutchmans Ln
Ste C
Easton, MD 21601
Phone (410) 763-6700
609 Dutchmans Ln
Ste C
Easton, MD 21601
Phone (410) 822-0991
120 Shoreway Dr
Queenstown, MD 21658
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": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1700899192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 705",
"city": "EASTON",
"state": "MD",
"postal_code": "216018912",
"telephone_number": "410-822-0991",
"fax_number": "410-822-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 DUTCHMANS LN",
"address_2": "SUITE C",
"city": "EASTON",
"state": "MD",
"postal_code": "21601",
"telephone_number": "410-822-0991",
"fax_number": "410-822-0577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE FAMILY FOOT CARE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "DEBORJA",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-822-0991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, MD
- Cheryl D. Ortel, MD PA
- Chesapeake Cardiology Clinic, P.a.
- Chesapeake Center, Inc.
- Chesapeake Ear, Nose, Throat, Sinus &Hearing Center, LLC
- Chesapeake Ear,Nose,Throat, Sinus & Hearing Center, LLC
- Chesapeake Hearing Centers, Inc.
- Chesapeake Neurosurgical Services LLC
- Chesapeake Open MRI L L C
- Chesapeake Open MRI LLC
- Chesapeake Pathology Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.