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

Mark Anthony Boissonneault, DPM

Individual provider Podiatrist · NPI 1508493248

Mark Anthony Boissonneault, DPM is a Podiatry in Reisterstown, Maryland. Graduated from William M. Scholl College of Podiatric Medicine in 2020, 6 years ago. Practices with Family Podiatry of Maryland, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
MD
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4 Glyndon Dr Ste 2A
Reisterstown, MD 21136-2002
Phone: (410) 833-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 01789 (MD)

Record details

NPI number1508493248
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address4 Glyndon Dr Ste 2a, Reisterstown, MD 21136-2002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Family Podiatry Of Maryland, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Reisterstown