1144570045 NPI number — JAMES A RANO DPM LLC

Table of content: (NPI 1144570045)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144570045 NPI number — JAMES A RANO DPM LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES A RANO DPM LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144570045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 MILFORD ST STE 305
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21804-6962
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-266-5555
Provider Business Mailing Address Fax Number:
888-261-0665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 MILFORD ST STE 305
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804-6962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-266-5555
Provider Business Practice Location Address Fax Number:
888-261-0665
Provider Enumeration Date:
09/18/2012

Additional Information

Authorized Official

Authorized Official Last Name:
RANO
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER/PODIATRIC SURGEON
Authorized Official Telephone Number:
443-266-5555

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  01339 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 416214501 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2999607 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 7994399 . This is a "AETNA MANAGED CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: AG660000 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 170891 . This is a "COVENTRY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 296686 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: W4610002 . This is a "BLUE SHIELD DC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: AG660001 . This is a "MARYLAND BC/BS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com