Mitchell a Barber DPM LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

01305 Issued in MD

Legal business name

MITCHELL A BARBER DPM LLC

Practice address

7350 Van Dusen Rd
Suite 310
Laurel, MD 20707-5264

Phone

(301) 490-2216

Fax

(301) 490-6705

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell A Barber, DPMNPI 1003916164

Title

President

Phone

(301) 490-2216

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell A Barber, DPM

  • Foot Surgery Podiatrist
  • Laurel, MD
  • NPI 1003916164

  DC, Foot Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1861592941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211110374",
            "telephone_number": "443-522-9749",
            "fax_number": "443-522-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 310",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075264",
            "telephone_number": "301-490-2216",
            "fax_number": "301-490-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL A BARBER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-490-2216",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01305",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "01305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406504200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406573500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FEDERAL",
            "identifier": "F751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "KBU5MI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miso Medical Center
• Miso Medical Center
• Miso Medical Center
• Nadine Carole Missiet Fogoum, CRNP
• Mitchell a Barber DPM ASC LLC
• Colleen Denise Mitchell, PH.D.
• Denise Louise Mitchell, LCPC
• Evelyn Elizabeth Mitchell, LPC
• Sonya Mitchell, OT
• Soma Mitra, M.D.

• All providers in Laurel, MD
• Foot Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.