SHENANDOAH VALLEY PODIATRY


Address: 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579
Phone: 5409041458

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 0103300725 VA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 9304291 05
VA RAILROAD MEDICARE 480032174 01

Other Provider/Organization Names

Other Name Type Code
Shenandoah Valley Podiatry Associates, Ltd. Other Name - Individual/Organization

Office Location

Street Address 60 SUMMERFIELD CT
SUITE 102
City ROANOKE
State VA
Zip Code 24019-4579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144290784 Jennifer Anne Keller Podiatrist 60 Summerfield Ct, Suite 102, Roanoke, VA 24019-4579 2006-01-25

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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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ROANOKE
Zip Code 24019

Improve Information

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Dataset Information

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.

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