Frederick Foot & Ankle ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FREDERICK FOOT & ANKLE ASC LLC

Practice address

141 Thomas Johnson Dr
Suite 170
Frederick, MD 21702-4502

Phone

(301) 668-9707

NPI assigned

Feb 17, 2014

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yenisey Yanes, DPMNPI 1497904106

Title

Member

Phone

(301) 668-9707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Frederick Foot and Ankle ASC LLCCCN 21C0001561

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yenisey Yanes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Frederick, MD
  • NPI 1497904106
  NPD Authorized official

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1902220627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826995",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR",
            "address_2": "SUITE 170",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024502",
            "telephone_number": "301-668-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK FOOT & ANKLE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "YANES",
        "authorized_official_first_name": "YENISEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-668-9707",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick ENT Group P.a.
• Frederick Experienced Dental Partners, LLC
• Frederick Family Dental, Inc.
• Frederick Family Inc
• Frederick Family Medical Clinic
• Frederick Foot & Ankle Surgery Center LLC
• Frederick Foot and Ankle Specialists
• Frederick Foot and Ankle Specialists PC
• Frederick Foot and Ankle Specialists PC (Frederick Foot and Ankle)
• Frederick Gastroenterology Associates PA

• Ambulatory Surgical Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.