Organization Active NPI

Lewis Klotzman, D.P.M.

  • Customized Equipment (DME)
  • Baltimore, MD
National Provider Identifier
1720261852
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
00953 Issued in MD
Legal business name
LEWIS KLOTZMAN, D.P.M.
Practice address
5922 York Rd
Baltimore, MD 21212-3028
Phone
(410) 532-3070
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Lewis Klotzman, D.P.M.
Title
Owner
Phone
(410) 532-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 00953 MD Primary

Addresses

Primary practice location

5922 York Rd
Baltimore, MD 21212-3028

Mailing address

5922 York Rd
Baltimore, MD 21212-3028
Phone (410) 532-3070

Other identifiers 1

IdentifierTypeStateIssuer
429248100MedicaidMD

National Provider Directory

National Provider Directory

Locations

5922 York Rd
Baltimore, MD 21212
Phone (410) 532-3070

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1720261852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123028",
            "telephone_number": "410-532-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123028",
            "telephone_number": "410-532-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS KLOTZMAN, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KLOTZMAN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-532-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "00953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429248100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.