Provider Demographics
NPI:1831453695
Name:JANNEY, HEATHER ELIZABETH (DPM)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ELIZABETH
Last Name:JANNEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64134
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4134
Mailing Address - Country:US
Mailing Address - Phone:667-214-2714
Mailing Address - Fax:410-448-6926
Practice Address - Street 1:351 W CAMDEN ST STE 501
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2493
Practice Address - Country:US
Practice Address - Phone:410-448-6400
Practice Address - Fax:410-224-0636
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006363213ES0103X
MD01577213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE602OtherBLUECROSS AND BLUESHIELD
MDE602OtherBLUECROSS AND BLUESHIELD