Organization Active NPI

Cambridge Foot & Ankle Center

  • Podiatrist
  • Cambridge, MD
National Provider Identifier
1962838763
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01443 Issued in MD
Legal business name
CAMBRIDGE FOOT & ANKLE CENTER
Practice address
100 Bramble St
Cambridge, MD 21613
Phone
(443) 225-6640
Fax
(443) 225-6641
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Leona Odemena, DPMNPI 1740386044
Title
Podiatrist
Phone
(443) 225-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01443 MD Primary

Addresses

Primary practice location

100 Bramble St
Cambridge, MD 21613

Mailing address

100 Bramble St
Cambridge, MD 21613-2471
Phone (410) 225-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131031001288 MD Part B Supplier - Clinic/Group Practice 8022243948 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1962838763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRAMBLE ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132471",
            "telephone_number": "410-225-6640",
            "fax_number": "410-225-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRAMBLE ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "21613",
            "telephone_number": "443-225-6640",
            "fax_number": "443-225-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE FOOT & ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "ODEMENA",
        "authorized_official_first_name": "LEONA",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "443-225-6640",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.