NPIMap

Organization Active NPI

Stevenson Podiatry

  • Podiatrist
  • Halethorpe, MD
National Provider Identifier
1922276476
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
STEVENSON PODIATRY
Practice address
4000 Annapolis Rd Rear 105
Halethorpe, MD 21227-3611
Phone
(410) 355-3519
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Claymon A Stevenson
Title
Business Owner
Phone
(410) 355-3519

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4000 Annapolis Rd Rear 105
Halethorpe, MD 21227-3611

Mailing address

4000 Annapolis Rd Rear 105
Halethorpe, MD 21227-3611
Phone (410) 439-9185

National Provider Directory

National Provider Directory

Locations

3721 Potee St
Ste 5
Brooklyn, MD 21225
Phone (410) 355-7020

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1922276476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD REAR 105",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273611",
            "telephone_number": "410-439-9185",
            "fax_number": "410-355-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD REAR 105",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273611",
            "telephone_number": "410-355-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "CLAYMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "410-355-3519"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halethorpe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.