MEDICARE: FREDERICK FOOT AND ANKLE SPECIALISTS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1841765310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK FOOT AND ANKLE SPECIALISTS PC

Provider Business Mailing Address
First Line	:	141 THOMAS JOHNSON DR STE 170
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4530
Country	:	US
Telephone Number	:	301-668-9707
Fax Number	:	301-668-4927

Provider Business Practice Location Address
First Line	:	123 HEALTH CARE LN
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-4008
Country	:	US
Telephone Number	:	877-668-0008
Fax Number	:	301-668-4927

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YENISEY YANES
Credential	:	DPM
Telephone Number	:	240-575-2222

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	07/21/2025

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