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DR. MICHAEL CLISHAM DPM
NPI 1366546749
Podiatrist - Foot & Ankle Surgery in Baltimore, MD

Active since September 07, 2006
6304 KENWOOD AVE, 3, BALTIMORE, MD 21237(443) 460-0127 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Michael Clisham Dpm NPPES

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

DR. MICHAEL CLISHAM DPM (NPI 1366546749) is an individual foot & ankle surgery provider in Baltimore, Maryland, licensed in Maryland (00506) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1366546749
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MICHAEL CLISHAMCredential: DPM
Location Address6304 KENWOOD AVE, 3Baltimore, MD 21237-2002
Mailing Address4100 Chardel Rd Apt ANottingham, MD 21236-5457 · (410) 931-0726
Phone(443) 460-0127
Sole ProprietorYes
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJune 4, 2008
✔ NPI 1366546749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MD · 00506
6304 KENWOOD AVE, Baltimore, MD 21237
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Other Identifiers 2

Medicare NSC1619141462MD
Medicare NSC1122910001MD

Other Providers at the Same Location NPPES 5

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

DR. STAVROS PAPAERACLEOUS DDS
Dentist
6304 KENWOOD AVE, STE 5
BALTIMORE, MD 21237
Baltimore County (410) 866-6660
ENDODONTICS, P.A.
Dentist (Endodontics)
6304 KENWOOD AVE, SUITE 2
ROSEDALE, MD 21237
Baltimore County (410) 866-7004
DR. JOHN CROWTHER BRUMMER DDS
Dentist
6304 KENWOOD AVE
BALTIMORE, MD 21237
Baltimore County (410) 866-3630
MICHAEL W CLISHAM DPM
Podiatrist (Foot & Ankle Surgery)
6304 KENWOOD AVE, 3
BALTIMORE, MD 21237
Baltimore County (443) 460-0127
DR. EVAN N PADOUSIS DDS
Dentist
6304 KENWOOD AVE, SUITE 5
BALTIMORE, MD 21237
Baltimore County (410) 866-6660

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 Michael Clisham's NPI number?

The NPI number for Michael Clisham is 1366546749. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Michael Clisham located?

Michael Clisham practices at 6304 Kenwood Ave 3, Baltimore, MD 21237. The listed phone number is (443) 460-0127.

What is Michael Clisham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Michael Clisham was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.