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Organization
PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER
Active
Organization
PODIATRY GROUP OF ANNAPOLIS AMBULATORY SURGICAL CENTER
Active
Other names
Podiatry Group of Annapolis Ambulatory Surgical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M MCKEE DPM (OWNER)
(410) 224-4448
Entity
Organization
Contact information
Practice address
139 OLD SOLOMONS ISLAND ROAD, SUITE C, ANNANPOLIS, MD 21401-0902
(410) 224-4448
(443) 949-9539
Mailing address
139 OLD SOLOMONS ISLAND ROAD, SUITE C, ANNANPOLIS, MD 21401-0902
(410) 224-4448
(443) 949-9539
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1134
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336913
FELRA
—
05
—
402820100
—
MD
01
—
483463
NCPPO
—
01
—
5147492
AETNA
—
01
—
522197293
TRICARE
—
01
—
60853301
CAREFIRST BC BS
—
01
—
6949277
CIGNA
—
01
—
706667
AETNA HMO TRADITIONAL
—
01
—
79740000
FEDERAL EMPLOYEE PROGRAM
—
01
—
NH8
GHMSI
—
01
—
ZZ22
PTAN
—
Enumeration date
09/01/2006
Last updated
12/03/2024
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