Active NPI
Podiatry Associates, P.a.
- Primary Podiatric Medicine Podiatrist
- Columbia, MD
National Provider Identifier
1841801875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- Legal business name
- PODIATRY ASSOCIATES, P.A.
- Practice address
- 5500 Knoll North Dr Ste 490
Columbia, MD 21045-2380 - Phone
- (410) 872-1212
- Fax
- (410) 803-1859
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis Lance Conda
- Title
- Credentialing Manager
- Phone
- (410) 927-3510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | NU | Primary |
Addresses
Primary practice location
5500 Knoll North Dr Ste 490
Columbia, MD 21045-2380
Mailing address
1 N Main St
Bel Air, MD 21014-3592
Phone (410) 879-1212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | credentialing@chespm.com |
National Provider Directory
National Provider Directory- Tax ID family
- Podiatry Associates ASC
Other organizations with this tax ID 33
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1841801875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N MAIN ST",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210143592",
"telephone_number": "410-879-1212",
"fax_number": "410-803-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 KNOLL NORTH DR STE 490",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452380",
"telephone_number": "410-872-1212",
"fax_number": "410-803-1859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "CONDA",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "LANCE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "410-927-3510"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "credentialing@chespm.com",
"affiliation": "N",
"address_1": "5500 Knoll North Dr Ste 490",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210452380",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.