Organization
CAPITAL FOOT & ANKLE CARE CENTRE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS H HALLGREN D.P.M. (PRESIDENT)
(301) 862-3338
Entity
Organization
Contact information
Practice address
22325 GREENVIEW PKWY, GREAT MILLS, MD 20634-3491
(301) 862-3338
(301) 862-3335
Mailing address
PO BOX 1310, CALIFORNIA, MD 20619-1310
(301) 862-3338
(301) 862-3335
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N/A
—
332900000X
Non-Pharmacy Dispensing Site
01346
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231309100
—
MD
01
—
KS57
BC/BS OF MD
MD
Enumeration date
08/05/2006
Last updated
05/17/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us