Provider Demographics
NPI:1235531591
Name:NATURAL MOTION FOOT AND ANKLE CARE PA
Entity Type:Organization
Organization Name:NATURAL MOTION FOOT AND ANKLE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ZELLARS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:240-391-6231
Mailing Address - Street 1:10845 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-1717
Mailing Address - Country:US
Mailing Address - Phone:410-335-0000
Mailing Address - Fax:410-335-3113
Practice Address - Street 1:9801 GREENBELT RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2273
Practice Address - Country:US
Practice Address - Phone:240-391-6231
Practice Address - Fax:240-391-6254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01367213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCBK64-0000OtherCAREFIRST
MDBK64-0000OtherCAREFIRST
CERTIFIEDOtherTRICARE
MD506806100OtherMEDICAL ASSISTANCE