Provider Demographics
NPI:1518149160
Name:FAMILY FOOT AND ANKLE CARE, PC
Entity Type:Organization
Organization Name:FAMILY FOOT AND ANKLE CARE, PC
Other - Org Name:LINH D. NGUYEN, DPM
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DPM/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THUY-LINH
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-666-3668
Mailing Address - Street 1:3334 PAPER MILL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:MD
Mailing Address - Zip Code:21131-1419
Mailing Address - Country:US
Mailing Address - Phone:410-666-3668
Mailing Address - Fax:410-666-3669
Practice Address - Street 1:3334 PAPER MILL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:MD
Practice Address - Zip Code:21131-1419
Practice Address - Country:US
Practice Address - Phone:410-666-3668
Practice Address - Fax:410-666-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01455213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1518149160OtherBEECH STREET
MD1518149160OtherGREATWEST HEALTHCARE
MD7024957OtherAETNA
MDCR8XTDOtherCAREFIRST: MARYLAND PARTICIPATING AND PREFERRED PROVIDER NETWORK
MDV897OtherCAREFIRST: GHMSI, REGIONAL, BLUECHOICE
MD1518149160OtherTRICARE
MD1518149160OtherHUMANA
MD219484OtherJOHN HOPKINS HEALTHCARE
MDCR8XTDOtherCAREFIRST
MD2333808OtherCIGNA
MD4325052 00Medicaid
MD002812827OtherUNITED HEALTHCARE
MDDS2819OtherRAILROAD MEDICARE
MDV897OtherCAREFIRST: GHMSI, REGIONAL, BLUECHOICE
1518149160OtherCOVENTRY
MD219484OtherJOHN HOPKINS HEALTHCARE