Chesapeake Foot and Ankle Center, P.a.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

CHESAPEAKE FOOT AND ANKLE CENTER, P.A.

Practice address

8030B Ritchie Hwy
Pasadena, MD 21122-1084

Phone

(410) 761-0118

Fax

(410) 761-5118

NPI assigned

Jul 27, 2006

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira J Gottlieb, DPMNPI 1265430524

Title

Podiatrist/Owner

Phone

(410) 761-0118

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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.

• Ira J Gottlieb, D.P.M.

  • Podiatrist
  • Pasadena, MD
  • NPI 1265430524
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1750305306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030B RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221084",
            "telephone_number": "410-761-0118",
            "fax_number": "410-761-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030B RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221084",
            "telephone_number": "410-761-0118",
            "fax_number": "410-761-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8028 Ritchie Hwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211221075",
            "country_code": "US",
            "telephone_number": "410-768-5800",
            "fax_number": "410-768-5806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE FOOT AND ANKLE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-05-03",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "410-761-0118",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437198400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "igottlieb@CRGMD.com",
            "affiliation": "N",
            "endpointDescription": "CRG",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8030B Ritchie Hwy",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211221084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Center for Interventional Procedures LLC
• Patricia A Chambliss, M.D.
• Danielle Cheplowitz, AGPCNP-BC
• Chesapeake Ambulatory Surgery Center, LLC
• Chesapeake Family Foot Care, PA
• Chesapeake Foot and Ankle Center, P.a.
• Chesapeake Plastic Surgery Suite
• Chesapeake Primary Care Group PA
• Kristine Elizabeth Chesney, NP-C
• Chief Health & Readiness, LLC (Chief Health & Wellness)

• Foot & Ankle Surgery Podiatrist in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.