Foot and Ankle Specialists of the Mid-Atlantic, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC

Practice address

11055 Little Patuxent Pkwy
Suite 204
Columbia, MD 21044-2896

Phone

(410) 730-2623

NPI assigned

Aug 17, 2015

Organization subpart

Yes

Parent organization

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. David Freedman, DPM

Title

Vice-President

Phone

(301) 598-0130

Specialties & licenses 3

Addresses

Part of

Foot and Ankle Specialists of the Mid-Atlantic LLC

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1861868622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "301-933-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442896",
            "telephone_number": "410-730-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "301-598-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nyuite Fongha
• Vivien Anjoh Fonjong, FNP
• Ale Fonseca
• Foot and Ankle Pain Center LLC
• Foot and Ankle Pain Center LLC
• Bradley James Foote, BA
• Martiann Forbes Cordoba
• Danielle Nicole Ford
• Mackenzie Lynn Ford
• Forefront Dermatology, S.C.

• Podiatrist in Columbia, MD
• Providers in Columbia, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.