Provider Demographics
NPI:1861832875
Name:TOTAL PODIATRY LLC
Entity Type:Organization
Organization Name:TOTAL PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:703-727-8972
Mailing Address - Street 1:8218 WISCONSIN AVE
Mailing Address - Street 2:SUITE305
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3128
Mailing Address - Country:US
Mailing Address - Phone:703-727-8972
Mailing Address - Fax:
Practice Address - Street 1:8218 WISCONSIN AVE
Practice Address - Street 2:SUITE305
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3107
Practice Address - Country:US
Practice Address - Phone:703-727-8972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1239213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty