SHORE FOOT & ANKLE
NPI 1861415200
Podiatrist - Foot & Ankle Surgery in Berlin, MD

NPI Status: Active since July 26, 2006

Contact Information

9956 N MAIN ST
SUITE #5
BERLIN, MD
ZIP 21811
Phone: (410) 629-0222
Fax: (410) 629-0225

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance

About SHORE FOOT & ANKLE

This page provides the complete NPI Profile along with additional information for Shore Foot & Ankle, a provider established in Berlin, Maryland operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1861415200 assigned on July 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 01311 (MD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Shore Foot & Ankle. The authorized official of this NPI record is Dr. David Gannon D.p.m. (Podiatrist/sole Owner)

NPI
1861415200
Provider Legal Name
DAVID GANNON DPM LLC
Other Organization Name
SHORE FOOT & ANKLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9956 N MAIN ST SUITE #5 BERLIN, MD 21811
Location Phone
(410) 629-0222
Location Fax
(410) 629-0225
Mailing Address
9956 N MAIN ST SUITE #5 BERLIN, MD 21811
Mailing Phone
(410) 629-0222
Mailing Fax
(410) 629-0225
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2006
Last Update Date
11-30-2009
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
01311
License State
MD

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
  • my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access Select PPO Bronze 3800 - PPO
  • my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Bronze 9200 - PPO
  • my Blue Access Select PPO Gold 0 - PPO
  • my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Gold 1700 HSA - PPO
  • my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Standard Bronze 7500 - PPO
  • my Blue Access Select PPO Standard Gold 2000 - PPO
  • my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Standard Platinum 0 - PPO
  • my Blue Access Select PPO Standard Silver 6000 - PPO

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

DR. DAVID GANNON D.P.M.

Authorized Official Title
PODIATRIST/SOLE OWNER
Authorized Official Phone
(410) 629-0222

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
4150953-00MEDICAID (05)MD 
6031730001MEDICARE NSC (07)MD 
DN7994OTHER (01)MDRAIL ROAD MEDICARE GROUP PTAN
U81449MEDICARE UPIN (02)MD 
518PMEDICARE PIN (08)MD 
6031730001OTHER (01)DME

Reviews for SHORE FOOT & ANKLE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861415200, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 1 + 1 + 0 + 2 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1861415200.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Chiropractor
9956 N MAIN ST, SUITE 4
BERLIN, MD 21811
Dietitian, Registered
9956 N MAIN ST, UNIT 2
BERLIN, MD 21811
Chiropractor
9956 N MAIN ST, SUITE 4
BERLIN, MD 21811
Dietitian, Registered
9956 N MAIN ST, SUITE 2
BERLIN, MD 21811
Chiropractor
9956 N MAIN ST, SUITE 4
BERLIN, MD 21811
Clinic/Center (Federally Qualified Health Center (FQHC))
9956 N MAIN ST, UNIT# 2
BERLIN, MD 21811
Podiatrist
9956 N MAIN ST, SUITE #5
BERLIN, MD 21811
Social Worker
9956 N MAIN ST
BERLIN, MD 21811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861415200, enumerated as an "organization" on July 26, 2006.

The provider is located at 9956 N MAIN ST SUITE #5 BERLIN, MD 21811 and the phone number is (410) 629-0222.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Highmark Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.