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SHADY GROVE PODIATRY, LLC
NPI 1518083443
Podiatrist - Foot & Ankle Surgery in Gaithersburg, MD

Active since March 22, 2007
16220 S FREDERICK AVE, SUITE 427, GAITHERSBURG, MD 20877(301) 948-2995(301) 948-6056 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 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 1518083443) is a healthcare organization registered as a foot & ankle surgery in Gaithersburg, Maryland and active in the NPI registry since March 2007. The organization lists Ronald Allen Footer, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1518083443
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSHADY GROVE PODIATRY, LLC
Location Address16220 S FREDERICK AVE, SUITE 427Gaithersburg, MD 20877-4039
Mailing Address16220 S Frederick Ave, Suite 427Gaithersburg, MD 20877-4039 · (301) 948-2995 · Fax (301) 948-6056
Phone(301) 948-2995
Fax(301) 948-6056
Organization SubpartNo
Authorized OfficialRonald Allen FooterManaging Partner · (301) 948-2995
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 13, 2011
✔ NPI 1518083443 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 · 00360
16220 S FREDERICK AVE, Gaithersburg, MD 20877
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Other Identifiers 2

Medicare ID-Type UnspecifiedG01798MH · Medicare Group Number
Medicare NSC5294240001MD

Group Practice 1

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

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.

SHADY GROVE PODIATRY LLC
Durable Medical Equipment & Medical Supplies
16220 S FREDERICK AVE, SUITE 200
GAITHERSBURG, MD 20877
Montgomery County (301) 948-2995
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

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 1518083443. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Shady Grove Podiatry, LLC located?

Shady Grove Podiatry, LLC is located at 16220 S Frederick Ave Suite 427, 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 Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Shady Grove Podiatry, LLC was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.