Family Foot Clinic of Greater Baltimore

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01466 Issued in MD

Legal business name

FAMILY FOOT CLINIC OF GREATER BALTIMORE

Practice address

1 Village SQ
Suite 165
Baltimore, MD 21210-1602

Phone

(410) 878-1340

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Robert Smith Jr., DPM

Title

President & Ceo

Phone

(410) 878-1340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1902270820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "SUITE 165",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101602",
            "telephone_number": "410-878-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "SUITE 165",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101602",
            "telephone_number": "410-878-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT CLINIC OF GREATER BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-878-1340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Advocacy Services, LLC
• Family and Childrens Services of Central Maryland Inc
• Family Care & Housing Services LLC
• Family Dental Care
• Family First Home Care LLC
• Family Footcare
• Family Footcare
• Family Friendly Care,Inc.
• Family Health Centers of Baltimore
• Family Health Centers of Baltimore

• Foot & Ankle Surgery Podiatrist in Baltimore, MD
• Providers in Baltimore, 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 Nov 16, 2015; 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.