| Shady Grove Podiatry, Llc | |
|
16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039 | |
| (301) 948-2995 | |
| (301) 948-6056 |
| Full Name | Shady Grove Podiatry, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 16220 S Frederick Ave, Gaithersburg, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518083443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00360 (Maryland) | Primary |
| Provider Name | Amir D Assili |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164448825 PECOS PAC ID: 4688623168 Enrollment ID: I20050124000633 |
| Provider Name | David Baek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508884321 PECOS PAC ID: 1153492335 Enrollment ID: I20080616000352 |
| Provider Name | Chris Serlo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538228549 PECOS PAC ID: 8426161241 Enrollment ID: I20101227000374 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497066377 PECOS PAC ID: 5799929782 Enrollment ID: I20141218001166 |
| Provider Name | Hoan B Dang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063777811 PECOS PAC ID: 4385952712 Enrollment ID: I20170105000051 |
| Provider Name | Navid Sadoughi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992117477 PECOS PAC ID: 4789961186 Enrollment ID: I20170912003226 |
| Provider Name | Jonathan C Dillard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427579770 PECOS PAC ID: 1951722958 Enrollment ID: I20200529001507 |
| Provider Name | Colin Mizuo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427410679 PECOS PAC ID: 2668870452 Enrollment ID: I20221129000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Grove Podiatry, Llc 16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039 Ph: (301) 948-2995 | Shady Grove Podiatry, Llc 16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039 Ph: (301) 948-2995 |
Dr. Johny J Motran, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8903 Shady Grove Ct, Gaithersburg, MD 20877 Phone: 301-519-3668 Fax: 301-519-7461 | |
Jason Meade Weber, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 702 Russell Avenue, Suite 103, Gaithersburg, MD 20877 Phone: 301-948-3668 Fax: 301-926-7787 | |
Maryland Foot & Ankle Restoration, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 8903 Shady Grove Ct, Gaithersburg, MD 20877 Phone: 301-519-3668 Fax: 301-519-7461 | |
Dick Y Okino, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 600 S Frederick Ave Ste 304, Gaithersburg, MD 20877 Phone: 240-477-4428 Fax: 306-663-0095 | |
Dr. Ronald Allen Footer, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16220 S Frederick Ave, Suite 200, Gaithersburg, MD 20877 Phone: 301-948-2995 Fax: 301-948-6056 | |
Stuart R Snyder Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 10810 Darnestown Rd, Suite #101, Gaithersburg, MD 20878 Phone: 301-762-3338 Fax: 301-762-1585 | |
Dr. Amir Darius Assili, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877 Phone: 301-948-2995 Fax: 301-948-6056 |