Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shady Grove Podiatry, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1518083443

Shady Grove Podiatry, LLC is a Foot & Ankle Surgery Podiatrist in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16220 S Frederick Ave Ste 427
Gaithersburg, MD 20877-4039
Phone: (301) 948-2995
Fax: (301) 948-6056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00360 (MD)

Record details

NPI number1518083443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Footer — Managing Partner · (301) 948-2995
NPI enumeratedMarch 22, 2007
Last updated in NPPESSeptember 13, 2011
Mailing address16220 S Frederick Ave, Suite 427, Gaithersburg, MD 20877-4039

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