SHENANDOAH VALLEY PODIATRY (NPI# 1003905878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905878 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH VALLEY PODIATRY |
| Other Organization Name | SHENANDOAH VALLEY PODIATRY ASSOCIATES, LTD. |
| Practice Address |
60 Summerfield Ct Suite 102 Roanoke VA 24019-4579 |
| Practice Telephone | 5409041458 |
| Practice Fax Number | 8554950994 |
| Mailing Telephone | 5409041458 |
| Mailing Fax Number | 8554950994 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | DR. JENNIFER ANNE KELLER (PRESIDENT) |
| Authorized Official Telephone | 5409041458 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103300725 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9304291 | 05 | |
| VA | RAILROAD MEDICARE | 480032174 | 01 |
| Other Name | Type Code |
|---|---|
| Shenandoah Valley Podiatry Associates, Ltd. | Other Name - Individual/Organization |
| Street Address |
60 SUMMERFIELD CT SUITE 102 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427104611 | Donald James Stefl II | Podiatrist | 2705 Brambleton Ave Sw, Roanoke, VA 24015-4307 | 2007-01-28 |
| 1144290784 | Jennifer Anne Keller | Podiatrist | 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 | 2006-01-25 |
| 1831506146 | Boyd Jensen IIi | Podiatrist | 222 Walnut Ave Sw, Roanoke, VA 24016-4723 | 2014-07-18 |
| 1942566252 | Corey Michael Fidler | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2012-04-11 |
| 1295020980 | Donald J Stefl, Dpm | Podiatrist | 2705 Brambleton Ave Sw, Roanoke, VA 24015-4307 | 2011-06-10 |
| 1629012208 | John R Clements | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-06-15 |
| 1144201740 | Craig Alan Wilhelms | Podiatrist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972543 | Achilles Foot Ankle Center Inc | Podiatrist | 681 Hioaks Rd Ste D, Richmond, VA 23225-4043 | 2019-10-08 |
| 1780225078 | Achilles Foot Ankle Center Inc | Podiatrist | 100 Winters St Ste 106, West Point, VA 23181-9534 | 2019-10-08 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| 1982151577 | Complete Care Medical Group LLC | Podiatrist | 41 Peach Grove Ln, Montross, VA 22520-2756 | 2016-09-01 |
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1093191280 | Lisa Morse | Podiatrist | 174 Todds Creek Ln, Mathews, VA 23109-2144 | 2015-08-11 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1770990764 | Ribeiro Foot and Ankle Center | Podiatrist | 4660 Kenmore Ave Ste 602, Alexandria, VA 22304-1300 | 2014-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.