NPIMap

Organization Active NPI

First Choice Podiatry LLC

  • Podiatric Clinic/Center
  • Annapolis, MD
National Provider Identifier
1972170892
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
FIRST CHOICE PODIATRY LLC
Practice address
107 Ridgely Ave Ste 13a
Annapolis, MD 21401-1417
Phone
(443) 332-2300
Fax
(443) 332-2301
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Laura Michetti, DPMNPI 1376073171
Title
Owner
Phone
(484) 686-8861

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
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

107 Ridgely Ave Ste 13a
Annapolis, MD 21401-1417

Mailing address

107 Ridgely Ave Ste 13a
Annapolis, MD 21401-1417
Phone (443) 332-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210729000352 MD Part B Supplier - Clinic/Group Practice 3173926094 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD
O20210805001483 DC Part B Supplier - Clinic/Group Practice 3173926094 Receives reassigned benefits from 1 practitioner
Practice locations: Glenarden, MD
O20230125001669 MD DME Supplier - Physician - Podiatry 3173926094 Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory
Tax ID family
First Choice Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1935 Generals Hwy
Annapolis, MD 21401
Phone (410) 695-6655

107 Ridgely Ave
Ste 13A
Annapolis, MD 21401
Phone (443) 332-2300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1972170892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE STE 13A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "443-332-2300",
            "fax_number": "443-332-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGELY AVE STE 13A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011417",
            "telephone_number": "443-332-2300",
            "fax_number": "443-332-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MICHETTI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-686-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.