Mickenbergs Ambulatory Foot Care Pa in Pasadena - Durable Medical Equipment & Medical Supplies
Mickenbergs Ambulatory Foot Care Pa - NPI 1386822104
Mickenbergs Ambulatory Foot Care Pa is a Durable Medical Equipment & Medical Supplies in Pasadena, Maryland. Mickenbergs Ambulatory Foot Care Pa practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Mickenbergs Ambulatory Foot Care Pa is 1386822104. The last update date is 2011-04-14.
Mickenbergs Ambulatory Foot Care Pa's current location address is 8094 Edwin Raynor Blvd, Pasadena, Maryland. You can contact this provider via phone number 4102550040 and fax number 4103604955. The mailing address for Mickenbergs Ambulatory Foot Care Pa is 8094 Edwin Raynor Blvd, Pasadena, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mickenbergs Ambulatory Foot Care Pa |
|---|---|
| Address | 8094 Edwin Raynor Blvd, Pasadena, Maryland |
| Phone Number | 4102550040 |
| Fax Number | 4103604955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mickenberg Marc Jay |
| Credentials | DPM |
| Telephone Number | 4102550040 |
NPI Number Detail
| NPI Number | 1386822104 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2011-04-14 |
Provider Mailing Address Detail
| Address | 8094 Edwin Raynor Blvd |
|---|---|
| City | Pasadena |
| State | Maryland (MD) |
| Post Code | 211226834 |
| Phone Number | 4102550040 |
| Fax Number | 4103604955 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 1053 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1338463 | CIGNA | ||
| 1386822104 | COVENTRY | ||
| 1386822104 | MAMSI | ||
| 1386822104 | ALLIANCE | ||
| T276 | MD | CAREFIRST | |
| 1386822104 | FIRST HEALTH | ||
| 1386822104 | FIDELITY | ||
| 1386822104 | EHP | ||
| 217484 | MDIPA/OPTIMUM CHOICE | ||
| 62308307 | MD | -- |
Post Comment/ Review Below
What is the Mickenbergs Ambulatory Foot Care Pa's 1386822104?
The Mickenbergs Ambulatory Foot Care Pa's NPI (National Provider Identifier) Number is 1386822104. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mickenbergs Ambulatory Foot Care Pa is physically located?
The Mickenbergs Ambulatory Foot Care Pa is physically situated at the following address: 8094 Edwin Raynor Blvd, Pasadena, MD, 211226834.
What is Mickenbergs Ambulatory Foot Care Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mickenbergs Ambulatory Foot Care Pa's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did Mickenbergs Ambulatory Foot Care Pa receive its 1386822104 assignment from the Centers for Medicare & Medicaid Services?
The Mickenbergs Ambulatory Foot Care Pa was assigned its 1386822104 on 2008-02-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mickenbergs Ambulatory Foot Care Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mickenbergs Ambulatory Foot Care Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-14.