Provider Demographics
NPI:1114255999
Name:GIEVERS-ZUNIGA FOOT & ANKLE CENTER
Entity Type:Organization
Organization Name:GIEVERS-ZUNIGA FOOT & ANKLE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIEVERS-ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-785-7357
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20830-0922
Mailing Address - Country:US
Mailing Address - Phone:301-785-7357
Mailing Address - Fax:
Practice Address - Street 1:18111 PRINCE PHILIP DR STE 328
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1507
Practice Address - Country:US
Practice Address - Phone:301-570-3668
Practice Address - Fax:301-570-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-06
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01348213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDU90584Medicare UPIN