Provider Demographics
NPI:1558387126
Name:IRA DEMING, D.P.M.
Entity Type:Organization
Organization Name:IRA DEMING, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:301-589-5144
Mailing Address - Street 1:8201 16TH ST
Mailing Address - Street 2:#119
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3240
Mailing Address - Country:US
Mailing Address - Phone:301-589-5144
Mailing Address - Fax:301-565-3042
Practice Address - Street 1:8201 16TH ST
Practice Address - Street 2:#119
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3240
Practice Address - Country:US
Practice Address - Phone:301-589-5144
Practice Address - Fax:301-565-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00914213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U07515Medicare UPIN
MD0238010001Medicare NSC
156711Medicare PIN