Active NPI
Max Weisfeld, D.P.M.
- Foot Surgery Podiatrist
- Baltimore, MD
National Provider Identifier
1912902412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 00400
- Practice address
- 5508 Harford Rd
Baltimore, MD 21214-2231 - Phone
- (410) 426-5508
- Fax
- (410) 426-4066
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 00400 | MD | Primary |
Addresses
Primary practice location
5508 Harford Rd
Baltimore, MD 21214-2231
Mailing address
5508 Harford Rd
Baltimore, MD 21214-2231
Phone (410) 426-5508
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521166378 | Other | MD | TAX ID |
| 237103 | Other | MD | MAMSI/MAPSI |
| 602078000 | Medicaid | MD | |
| H361 | Other | MD | CAREFIRST BC & BS |
| E317 | Other | MD | CAREFIRST BLUECHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00400 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1912902412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5508 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142231",
"telephone_number": "410-426-5508",
"fax_number": "410-426-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5508 HARFORD RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142231",
"telephone_number": "410-426-5508",
"fax_number": "410-426-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISFELD",
"first_name": "MAX",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "00400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "521166378",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/MAPSI",
"identifier": "237103",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602078000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC & BS",
"identifier": "H361",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECHOICE",
"identifier": "E317",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.