NPIMap

Organization Active NPI

Gaithersburg Foot and Ankle Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1760507834
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1427 Issued in MD
Legal business name
GAITHERSBURG FOOT AND ANKLE SURGERY CENTER
Practice address
60 Market St
Suite #202
Gaithersburg, MD 20878-6548
Phone
(301) 330-5666
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Jon M Sherman, D.P.M.
Title
President
Phone
(301) 330-5666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1427 MD Primary

Addresses

Primary practice location

60 Market St
Suite #202
Gaithersburg, MD 20878-6548

Mailing address

60 Market St
Suite #202
Gaithersburg, MD 20878-6548
Phone (301) 330-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000899 DC Part B Supplier - Ambulatory Surgical Center 9739198623 Practice locations: Gaithersburg, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gaithersburg Foot and Ankle Surgery Ctr LLCCCN 21C0001427
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

60 Market St
Ste 202
Gaithersburg, MD 20878
Phone (301) 330-5666

Practitioners & affiliated clinicians

Practitioners 2

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1760507834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "SUITE #202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-330-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARKET ST",
            "address_2": "SUITE #202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208786548",
            "telephone_number": "301-330-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAITHERSBURG FOOT AND ANKLE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-330-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.