Provider Demographics
NPI:1437363827
Name:MAURICE W. AIKEN, DPM, PA
Entity Type:Organization
Organization Name:MAURICE W. AIKEN, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:W
Authorized Official - Last Name:AIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-602-8637
Mailing Address - Street 1:1838 GREENE TREE RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-7103
Mailing Address - Country:US
Mailing Address - Phone:410-602-8637
Mailing Address - Fax:410-602-9781
Practice Address - Street 1:1838 GREENE TREE RD
Practice Address - Street 2:SUITE 430
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-7103
Practice Address - Country:US
Practice Address - Phone:410-602-8637
Practice Address - Fax:410-602-9781
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAURICE W. AIKEN, DPM, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-09
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01099213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD153198100Medicaid
MD0688230001Medicare NSC
MD153198100Medicaid
MD580MMedicare PIN