Active NPI
Lance F. Caffiero DPM PA
- Foot Surgery Podiatrist
- Bowie, MD
National Provider Identifier
1891996138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 01299
- Legal business name
- LANCE F. CAFFIERO DPM PA
- Practice address
- 4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137 - Phone
- (301) 262-1171
- Fax
- (301) 262-7483
- NPI assigned
- May 31, 2007
- 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
- Mrs. Sandra Prichard
- Title
- Office Manager
- Phone
- (301) 262-1171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 01299 | MD | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137
Mailing address
4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137
Phone (301) 262-1171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480035249 | Other | MD | RAIL ROAD MEDICARE |
| 309802800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
14999 Health Center Dr
Ste 202
Bowie, MD 20716
Phone (301) 218-4220
2401 Brandermill Blvd
#F
Gambrills, MD 21054
Phone (410) 451-3206
Practitioners & affiliated clinicians
Practitioners 1
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": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675209600000",
"number": "1891996138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163137",
"telephone_number": "301-262-1171",
"fax_number": "301-262-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD STE A400",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163137",
"telephone_number": "301-262-1171",
"fax_number": "301-262-7483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANCE F. CAFFIERO DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A",
"authorized_official_last_name": "PRICHARD",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-262-1171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "01299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "480035249",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309802800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.