Michael W Clisham Dpm
Michael W Clisham Dpm is a healthcare organization registered as Foot & Ankle Surgery Podiatrist in Baltimore, MD, holding Type 2 (organization) NPI 1619141462 since 2008. The authorized official on file is Michael Clisham, Podiatrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619141462 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Michael W Clisham Dpm |
| Practice address | 6304 KENWOOD AVE, 3, Baltimore, MD, 21237 |
| Phone | 4434600127 |
| Fax | 4108666610 |
| Enumeration date | 2008-04-14 |
| Last updated in NPPES | 2008-06-06 |
Authorized official
| Name | Michael Clisham |
|---|---|
| Title | Podiatrist |
| Phone | 4434600127 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Primary | 00506 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 786108700 | Medicaid | MD | — |
Copy-ready billing details
Provider: Michael W Clisham Dpm NPI: 1619141462 Taxonomy: 213ES0103X (Foot & Ankle Surgery Podiatrist) Address: 6304 KENWOOD AVE, 3, Baltimore, MD, 21237
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073551768 | Stavros Papaeracleous | Individual | Dentist | Baltimore, MD |
| 1699795930 | Evan Padousis | Individual | Dentist | Baltimore, MD |
| 1346251337 | John Brummer | Individual | Dentist | Baltimore, MD |
| 1295848828 | Endodontics, P.A. | Organization | Endodontics | Rosedale, MD |
| 1366546749 | Michael Clisham | Individual | Foot & Ankle Surgery Podiatrist | Baltimore, MD |
Verify this record
Cross-check NPI 1619141462 against the authoritative CMS record: view Michael W Clisham Dpm on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Michael W Clisham Dpm?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-06.