Fred Lee Gelin, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

551 Issued in MD

Practice address

7809 Wise Ave
Dundalk, MD 21222-3339

Phone

(410) 288-0666

Fax

(410) 288-0667

NPI assigned

Aug 10, 2007

Last updated

Dec 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Fred Gelin PA

  • Podiatrist
  • Baltimore, MD
  • NPI 1386641652
  Authorized official Same address or phone

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1720270143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "410-288-0666",
            "fax_number": "410-288-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 WISE AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223339",
            "telephone_number": "410-288-0666",
            "fax_number": "410-288-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIN",
        "first_name": "FRED",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769638800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.