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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