Shady Grove Podiatry Llc
Durable Medical Equipment & Medical Supplies
16220 S Frederick Ave, Suite 200, Gaithersburg
Maryland, 20877-4039
301-948-2995 301-948-6056
Shady Grove Podiatry Llc is a Durable Medical Equipment & Medical Supplies in Gaithersburg, Maryland. It is located at 16220 S Frederick Ave, Suite 200, Gaithersburg and it's customer support contact number is 301-948-2995. The authorized person of Shady Grove Podiatry Llc is Katherine Diggins who is Office Manager of this DME and his contact number is 301-948-2995. Shady Grove Podiatry Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Shady Grove Podiatry Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Shady Grove Podiatry Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Shady Grove Podiatry Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 16220 S Frederick Ave, Suite 200, Gaithersburg,
Maryland, 20877-4039 |
| Phone: | 301-948-2995 |
| Fax: | 301-948-6056 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Katherine Diggins |
| Position: | Office Manager |
| Contact Number: | 301-948-2995 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1093859720 |
| NPI Enumeration Date: | 16 Feb, 2007 |
| NPI Last Update On: | 01 Jul, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shady Grove Podiatry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Maryland | Primary | |
Medicare Enrollment:
Shady Grove Podiatry Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1052360534 | O20100930012047 | Shady Grove Podiatry Llc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 16220 S Frederick Ave, Suite 200
Gaithersburg, Maryland |
| Zip: | 20877-4039 |
| Phone Number: | 301-948-2995 |
| Fax Number: | 301-948-6056 |
Patients can reach Shady Grove Podiatry Llc at
16220 S Frederick Ave, Suite 200, Gaithersburg, Maryland or can
call on customer care at 301-948-2995.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.