SHADY GROVE PODIATRY LLC
NPI 1093859720
Durable Medical Equipment & Medical Supplies in Gaithersburg, MD

Active since February 16, 2007
16220 S FREDERICK AVE, SUITE 200, GAITHERSBURG, MD 20877(301) 948-2995(301) 948-6056 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About SHADY GROVE PODIATRY LLC

This page provides the complete NPI Profile along with additional information for Shady Grove Podiatry Llc, a provider established in Gaithersburg, Maryland operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1093859720 assigned on February 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Katherine Diggins (Office Manager)

NPI
1093859720 Verify this NPI
Provider Name
SHADY GROVE PODIATRY LLC
Entity Type
Organization
Location Address
16220 S FREDERICK AVE SUITE 200 GAITHERSBURG, MD 20877
Location Phone
(301) 948-2995
Location Fax
(301) 948-6056
Mailing Address
16220 S FREDERICK AVE SUITE 200 GAITHERSBURG, MD 20877
Mailing Phone
(301) 948-2995
Mailing Fax
(301) 948-6056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2007
Last Update Date
07-01-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
MD
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHERINE DIGGINS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(301) 948-2995

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5294240001MEDICARE ID-TYPE UNSPECIFIED (04)MD 

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Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
16220 S FREDERICK AVE, STE 213
GAITHERSBURG, MD 20877
Chiropractor
16220 S FREDERICK AVE, SUITE 500
GAITHERSBURG, MD 20877
Podiatrist
16220 S FREDERICK AVE, SUITE 200
GAITHERSBURG, MD 20877
Internal Medicine
16220 S FREDERICK AVE, SUITE 418
GAITHERSBURG, MD 20877
Internal Medicine
16220 S FREDERICK AVE, SUITE 210
GAITHERSBURG, MD 20877
Podiatrist (Foot & Ankle Surgery)
16220 S FREDERICK AVE, SUITE 427
GAITHERSBURG, MD 20877
Specialist
16220 S FREDERICK AVE, SUITE # 204
GAITHERSBURG, MD 20877
Clinic/Center (Ambulatory Surgical)
16220 S FREDERICK AVE, SUITE 427
GAITHERSBURG, MD 20877
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 512
GAITHERSBURG, MD 20877
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Podiatrist (Foot & Ankle Surgery)
16220 S FREDERICK AVE, SUITE 427
GAITHERSBURG, MD 20877
Dentist (General Practice)
16220 S FREDERICK AVE, SUITE 505
GAITHERSBURG, MD 20877
Psychologist (Clinical)
16220 S FREDERICK AVE, SUITE 308
GAITHERSBURG, MD 20877
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Dermatology
16220 S FREDERICK AVE, SUITE 420
GAITHERSBURG, MD 20877
Internal Medicine (Pulmonary Disease)
16220 S FREDERICK AVE, SUITE 213
GAITHERSBURG, MD 20877

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093859720, enumerated as an "organization" on February 16, 2007.

The provider is located at 16220 S FREDERICK AVE SUITE 200 GAITHERSBURG, MD 20877 and the phone number is (301) 948-2995.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.