Provider Demographics
NPI:1003940339
Name:UMEZ PODIATRY, P.A.
Entity Type:Organization
Organization Name:UMEZ PODIATRY, P.A.
Other - Org Name:SHERMAN PODIATRY, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:U
Authorized Official - Last Name:UMEZURIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-698-3866
Mailing Address - Street 1:1800 N CHARLES ST STE 208
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5907
Mailing Address - Country:US
Mailing Address - Phone:410-539-4282
Mailing Address - Fax:833-908-2252
Practice Address - Street 1:1800 N CHARLES ST STE 208
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5907
Practice Address - Country:US
Practice Address - Phone:410-539-4282
Practice Address - Fax:833-908-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00672213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7970188P0000Medicaid
MDT59485Medicare UPIN
MD7970188P0000Medicaid