Eastern Shore Family Foot Care, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

01102 Issued in MD

Legal business name

EASTERN SHORE FAMILY FOOT CARE, LLC

Practice address

6412 Church Hill Rd
Chestertown, MD 21620-2386

Phone

(410) 778-1801

Fax

(410) 758-3249

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Kimberli Clarkson

Title

Office Manager

Phone

(410) 758-5446

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• David Richard Clarkson, D.P.M.

  • Podiatrist
  • Chestertown, MD
  • NPI 1477580231
  Medicare reassignment Care Compare group NPD
• Timothy James Monahan, D.P.M.

  • Podiatrist
  • Chestertown, MD
  • NPI 1225008691
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1942327010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202386",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 CHURCH HILL RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202386",
            "telephone_number": "410-778-1801",
            "fax_number": "410-758-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE FAMILY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CLARKSON",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-758-5446"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01102",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780938700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Dunham, RPH
• Julie Dunlap, CRNP
• Easter Seals Delaware & Maryland's Eastern Shore
• Eastern Shore Family Foot Care, LLC
• Eastern Shore Family Foot Care, LLC
• Eastern Shore Primary Care Practice LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Psychological Services, LLC
• Eastern Shore Urgent Care LLC

• Foot Surgery Podiatrist in Chestertown, MD
• Providers in Chestertown, MD by specialty
• Foot Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.