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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: August 09, 2026.

About Shady Grove Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY GROVE PODIATRY LLC (NPI 1093859720) is a healthcare organization registered as a durable medical equipment & medical supplies in Gaithersburg, Maryland and active in the NPI registry since February 2007. The organization lists Katherine Diggins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093859720
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHADY GROVE PODIATRY LLC
Location Address16220 S FREDERICK AVE, SUITE 200Gaithersburg, MD 20877-4039
Mailing Address16220 S Frederick Ave, Suite 200Gaithersburg, MD 20877-4039 · (301) 948-2995 · Fax (301) 948-6056
Phone(301) 948-2995
Fax(301) 948-6056
Organization SubpartNo
Authorized OfficialKatherine DigginsOffice Manager · (301) 948-2995
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 1, 2009
✔ NPI 1093859720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
16220 S FREDERICK AVE, Gaithersburg, MD 20877
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Other Identifiers 1

Medicare ID-Type Unspecified5294240001MD

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD ALLEN FOOTER D.P.M.
Podiatrist
16220 S FREDERICK AVE, SUITE 200
GAITHERSBURG, MD 20877
Montgomery County (301) 948-2995
DR. AMIR DARIUS ASSILI DPM
Podiatrist (Foot & Ankle Surgery)
16220 S FREDERICK AVE, SUITE 427
GAITHERSBURG, MD 20877
Montgomery County (301) 948-2995
LAURA TING MWS
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Montgomery County (301) 978-9750
COMPREHENSIVE DERMATOLOGY CENTER, P.C
Dermatology
16220 S FREDERICK AVE, SUITE 420
GAITHERSBURG, MD 20877
Montgomery County (301) 869-2126
DR. BAOLANG LIAO M.D.
Internal Medicine
16220 S FREDERICK AVE, SUITE 418
GAITHERSBURG, MD 20877
Montgomery County (301) 926-9088
PULMONOLOGISTS, PC
Internal Medicine (Pulmonary Disease)
16220 S FREDERICK AVE, SUITE 213
GAITHERSBURG, MD 20877
Montgomery County (301) 963-2770
MS. PEGGY DIENES MSW
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Montgomery County (301) 978-9750
ADRIANA DE PALMA LCSW-C
Social Worker (Clinical)
16220 S FREDERICK AVE, SUITE 502
GAITHERSBURG, MD 20877
Montgomery County (301) 978-9750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Grove Podiatry LLC's NPI number?

The NPI number for Shady Grove Podiatry LLC is 1093859720. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Shady Grove Podiatry LLC located?

Shady Grove Podiatry LLC is located at 16220 S Frederick Ave Suite 200, Gaithersburg, MD 20877. The listed phone number is (301) 948-2995.

What is Shady Grove Podiatry LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shady Grove Podiatry LLC was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.