FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
NPI 1487009155
Podiatrist in Hagerstown, MD

Active since April 29, 2016CLIA 21D2216057 · Waiver
11110 MEDICAL CAMPUS RD, SUITE 100, HAGERSTOWN, MD 21742(301) 739-1575 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Nov 27, 2018, Feb 28, 2017 (3 updates tracked since 2017).

About Foot And Ankle Specialists Of The Mid-atlantic, Llc NPPES

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

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC (NPI 1487009155) is a healthcare organization registered as a podiatrist in Hagerstown, Maryland and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists David J Freedman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1487009155
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Location Address11110 MEDICAL CAMPUS RD, SUITE 100Hagerstown, MD 21742-6700
Mailing AddressPo Box 825159Philadelphia, PA 19182-5159 · (301) 933-7133 · Fax (301) 933-7137
Organization SubpartNo
Authorized OfficialDavid J FreedmanVice President · (301) 598-0130
Enumeration DateApril 29, 2016
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
NPI 1487009155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
11110 MEDICAL CAMPUS RD, Hagerstown, MD 21742

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2216057

Foot And Ankle Specialists Of The Mid-Atlantic LLC · Hagerstown, MD
Active · expires Mar 8, 2027
CLIA Number21D2216057
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorBrandy Grahn
Laboratory Phone(301) 739-1575
Laboratory LocationFoot And Ankle Specialists Of The Mid-Atlantic LLC11110 Medical Campus Rd #100, Hagerstown, MD 21742
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
11110 MEDICAL CAMPUS RD, 201
HAGERSTOWN, MD 21742
Physician Assistant
11110 MEDICAL CAMPUS RD, SUITE 205
HAGERSTOWN, MD 21742
Physician Assistant (Medical)
11110 MEDICAL CAMPUS RD, SUITE 100
HAGERSTOWN, MD 21742
Occupational Therapist
11110 MEDICAL CAMPUS RD, 201
HAGERSTOWN, MD 21742
Physical Therapy Assistant
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD
HAGERSTOWN, MD 21742
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD, SUITE 242
HAGERSTOWN, MD 21742
Registered Nurse (Diabetes Educator)
11110 MEDICAL CAMPUS RD, SUTIE 108
HAGERSTOWN, MD 21742

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 Foot And Ankle Specialists Of The Mid-Atlantic, LLC's NPI number?

The NPI number for Foot And Ankle Specialists Of The Mid-Atlantic, LLC is 1487009155. It was assigned to this organization in the NPPES registry on April 29, 2016.

Where is Foot And Ankle Specialists Of The Mid-Atlantic, LLC located?

Foot And Ankle Specialists Of The Mid-Atlantic, LLC is located at 11110 Medical Campus Rd Suite 100, Hagerstown, MD 21742. The listed phone number is (301) 739-1575.

What is Foot And Ankle Specialists Of The Mid-Atlantic, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Foot And Ankle Specialists Of The Mid-Atlantic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2216057) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Specialists Of The Mid-Atlantic, LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.