Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE PODIATRY CARE CENTER, LLC
Active
Organization
THE PODIATRY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA LYNN NELSON D.P.M. (OWNER)
(301) 352-3668
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD, SUITE 109, GLENN DALE, MD 20769-9179
(301) 352-3668
(301) 352-3669
Mailing address
12150 ANNAPOLIS RD, SUITE 109, GLENN DALE, MD 20769-9179
(301) 352-3668
(301) 352-3669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01318
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134103100
—
MD
01
—
5394560001
DMERC PIN
MD
01
—
583402
MAMSI/MDIPA/OPT CHOICE
MD
01
—
62204301
BLUECROSS AND BLUESHIELD
MD
01
—
7294202
AETNA
MD
01
—
86546
AMERIGROUP
MD
01
—
DF6331
PALMETTO GBA - RAILROAD MEDICARE
MD
01
—
J2590001
BLUECROSS AND BLUESHIELD
MD
Enumeration date
10/15/2007
Last updated
08/09/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up