FOOT AND ANKLE PAIN CENTER LLC NPI 1003420225

Podiatrist (Foot & Ankle Surgery) in Columbia, MD

NPI 1003420225 Organization Podiatrist Foot & Ankle Surgery Medicare Supplier Accepts Medicare Approved Payment

About FOOT AND ANKLE PAIN CENTER LLC

Foot And Ankle Pain Center Llc is a provider established in Columbia, Maryland specializing in podiatrist (foot & ankle surgery) . The NPI number of Foot And Ankle Pain Center Llc is 1003420225 and was assigned on September 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated one year ago. Foot And Ankle Pain Center Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Benjamin David Elgamil Dpm (Owner)

Foot And Ankle Pain Center Llc is a medicare supplier with PTAN 7874250001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Negative Pressure Wound Therapy Pumps/Supplies or Contracture Treatment Devices: Dynamic Splint or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Custom Fabricated or Limb Prostheses or Heat & Cold Applications or Canes and/or Crutches or Diabetic Shoes/Inserts - Custom or Diabetic Shoes and Inserts or Osteogenesis Stimulators or Orthoses: Prefabricated (Non-Custom Fabricated) or Walkers or Orthoses: Off-The-Shelf or Surgical Dressings.

NPI

1003420225

Provider NameFOOT AND ANKLE PAIN CENTER LLC
Provider Location Address9821 BROKEN LAND PKWY STE 103 COLUMBIA, MD 21046
Provider Mailing Address9821 BROKEN LAND PKWY STE 103 COLUMBIA, MD 21046
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-04-2020
Last Update Date09-04-2020


Primary Taxonomy

Taxonomy Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery

Business Address

FOOT AND ANKLE PAIN CENTER LLC
9821 BROKEN LAND PKWY STE 103
COLUMBIA, MD
ZIP 21046
Phone: (410) 575-3668

Get Directions


Mailing Address

FOOT AND ANKLE PAIN CENTER LLC
9821 BROKEN LAND PKWY STE 103
COLUMBIA, MD
ZIP 21046
Phone: (410) 575-3668



Authorized Official

Authorized Official NameDR. BENJAMIN DAVID ELGAMIL DPM
Authorized Official TitleOWNER
Authorized Official Phone(410) 575-3668

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN7874250001
Accepts Medicare AssignmentYES
Provider Type ListPHYSICIAN – PODIATRY, AMBULATORY SURGICAL CENTER.
Supplies List
  • Negative Pressure Wound Therapy Pumps/Supplies - Wound care sets, Pumps, Canisters
  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831539303DR. BENJAMIN DAVID ELGAMIL D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)9821 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046
(410) 575-3668
1538773767FOOT AND ANKLE PAIN CENTER LLC
Organization
Durable Medical Equipment & Medical Supplies9821 BROKEN LAND PKWY STE 103
COLUMBIA, MD 21046
(410) 575-3668

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.