Organization Active NPI

Howard L. Schultheiss, Jr., DPM, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Bel Air, MD
National Provider Identifier
1902138993
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01108 Issued in MD
Legal business name
HOWARD L. SCHULTHEISS, JR., DPM, P.A.
Practice address
437 S Main St
Bel Air, MD 21014-3919
Phone
(410) 836-0131
Fax
(410) 836-8594
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Mrs. Vickie Lynn Schultheiss, MT ASCP
Title
Medical Administrator
Phone
(410) 836-0131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01108 MD Primary

Addresses

Primary practice location

437 S Main St
Bel Air, MD 21014-3919

Mailing address

437 S Main St
Bel Air, MD 21014-3919
Phone (410) 836-0131

Other identifiers 6

IdentifierTypeStateIssuer
1852436003OtherMDCIGNA
R709OtherMDBCBS DC
2700271OtherMDUNITED HEALTHCARE
158068000MedicaidMD
T324HLOtherMDBCBS MD
0468265OtherMDAETNA

Other names 1

  • Harford Lower Extremity Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100329000017 MD Part B Supplier - Clinic/Group Practice 6103952288 Receives reassigned benefits from 3 practitioners
Practice locations: Bel Air, MD; Elkton, MD
O20100930015298 MD DME Supplier - Physician - Podiatry 6103952288 Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory
Tax ID family
Howard L Schultheiss Jr DPM PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 W High St
Ste 103
Elkton, MD 21921
Phone (410) 836-0131

Practitioners & affiliated clinicians

Practitioners 4

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1902138993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143919",
            "telephone_number": "410-836-0131",
            "fax_number": "410-836-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143919",
            "telephone_number": "410-836-0131",
            "fax_number": "410-836-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD L. SCHULTHEISS, JR., DPM, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEISS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "410-836-0131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1852436003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "R709",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700271",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158068000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "T324HL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0468265",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harford Lower Extremity Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.