NPIMap

Organization Active NPI

Foot Centers of Maryland, LLC

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1740413269
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01274 Issued in MD
Legal business name
FOOT CENTERS OF MARYLAND, LLC
Practice address
7602 Belair Rd
Baltimore, MD 21236-4088
Phone
(410) 661-3338
Fax
(410) 663-6984
NPI assigned
Sep 1, 2009
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Sean Sider, DPMNPI 1215054994
Title
Physician
Phone
(410) 661-3338

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01274 MD Primary

Addresses

Primary practice location

7602 Belair Rd
Baltimore, MD 21236-4088

Mailing address

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 661-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091008000253 MD Part B Supplier - Clinic/Group Practice 4082750872 Receives reassigned benefits from 5 practitioners
Practice locations: Baltimore, MD; Reisterstown, MD; Glen Burnie, MD; Lutherville, MD
O20100930083313 MD DME Supplier - Physician - Podiatry 4082750872 Practice locations: Baltimore, MD
O20190919001869 DC Part B Supplier - Clinic/Group Practice 4082750872 Receives reassigned benefits from 4 practitioners
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory
Tax ID family
Foot Centers of Maryland LL6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Saint Paul St
Ste 818
Baltimore, MD 21202
Phone (410) 661-3338

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1740413269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-661-3338",
            "fax_number": "410-663-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364088",
            "telephone_number": "410-661-3338",
            "fax_number": "410-663-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT CENTERS OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "SIDER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-661-3338",
        "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": "01274",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2024; 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.

Verify at the official NPI Registry.