Maryland Foot and Ankle Specialists

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MARYLAND FOOT AND ANKLE SPECIALISTS

Practice address

1010 Liberty Rd Ste 100
Eldersburg, MD 21784-7949

Phone

(410) 795-2155

Fax

(410) 795-2154

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justin Lewis, DPMNPI 1649506270

Title

Owner

Phone

(410) 795-2155

Specialties & licenses 5

Addresses

Other names 1

• Stewarstown Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, PA3 enrollments

Enrollment records 3

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Eldersburg Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Eldersburg, MD
  • NPI 1427521780

  Member Of

  NPD member

Locations

Practitioners 3

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

• Justin James Lewis, DPM

  • Foot & Ankle Surgery Podiatrist
  • Eldersburg, MD
  • NPI 1649506270

  PA

  Medicare reassignment Care Compare group NPD Authorized official
• Delores B Turner-Brock, CRNP

  • Acute Care Nurse Practitioner
  • Randallstown, MD
  • NPI 1881000859

  PA

  Medicare reassignment Care Compare group NPD
• Ilene B Bayer-Garner, MD

  • Dermatopathology Physician
  • Severna Park, MD
  • NPI 1003895764

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1861928186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847949",
            "telephone_number": "410-795-2155",
            "fax_number": "410-795-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LIBERTY RD STE 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217847949",
            "telephone_number": "410-795-2155",
            "fax_number": "410-795-2154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Sofia Drive",
            "address_2": "Ste 205",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-781-8313",
            "fax_number": "717-781-8414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYLAND FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-795-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01503",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewarstown Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brennan Maher, PT, DPT
• Laura Diane Malcy, PSYD
• Amanda L Mallory, DPT
• Mario Conliffe
• Jaime L Martin, LMSW
• Maryland Oncology Hematology, P.a.
• Maryland Sportscare & Rehab, LLC
• April Mather
• Leah Mathews, DPT
• Stacey A Maxwell, MS, ATC

• Foot & Ankle Surgery Podiatrist in Eldersburg, MD
• Providers in Eldersburg, 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 Jun 13, 2022; 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.