Provider Demographics
NPI:1033202569
Name:WINDSOR FOOT AND ANKLE CENTER PA, INC.
Entity Type:Organization
Organization Name:WINDSOR FOOT AND ANKLE CENTER PA, INC.
Other - Org Name:NOEL BARNETT, D.P.M
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-298-7045
Mailing Address - Street 1:P.O. BOX 47354
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-0354
Mailing Address - Country:US
Mailing Address - Phone:410-298-7045
Mailing Address - Fax:410-298-1233
Practice Address - Street 1:2500 N ROLLING RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1990
Practice Address - Country:US
Practice Address - Phone:410-298-7045
Practice Address - Fax:410-298-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01243213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1291440001Medicare NSC
MD5798190001Medicare NSC