RURAL PODIATRY, LLC (NPI# 1083137871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083137871 |
| Entity Type | Organization |
| Organization Name | RURAL PODIATRY, LLC |
| Practice Address |
7010 Mountain Rd Halifax VA 24558-2392 |
| Practice Telephone | (434) 250-4862 |
| Practice Fax Number | 7278036980 |
| Mailing Telephone | 4342504862 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | DR. ROGER PATRICK TRAVIS (OWNER) |
| Authorized Official Telephone | 4342504862 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
VV14519855 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067202 | 05 |
| Street Address |
7010 MOUNTAIN RD |
| City | HALIFAX |
| State | VA |
| Zip Code | 24558-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002279 | Life Services &transportation Inc. | Non-emergency Medical Transport (VAN) | 2075 Mountain Road, Halifax, VA 24558 | 2020-10-27 |
| 1154546869 | Richard Benjamin Bradley Jr. | Dentist | 187 South Main St, Halifax, VA 24558 | 2007-04-16 |
| 1336224815 | Herman Lee Thomas Jr. | Registered Nurse | 2129 Oak Level Rd, Halifax, VA 24558 | 2006-10-25 |
| 1235175795 | Home Care Alliance of Virginia Inc | Durable Medical Equipment & Medical Supplies | 5037 Halifax Rd, Suite A, Halifax, VA 24558 | 2006-06-22 |
| 1326089095 | Francis Barnes Mitchell | Family Medicine | 235 N Main St, Halifax, VA 24558 | 2006-06-10 |
| 1629029483 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 1030 Cowford Road, Halifax, VA 24558 | 2006-05-15 |
| 1073786356 | Halifax Clinic Inc | Family Medicine | 235 N Main St, Halifax, VA 24558 | 2008-04-08 |
| 1992824031 | Halifax County Department of Social Services | Public Health or Welfare | 1030 Cowford Road, Mary Bethune Office Complex, Halifax, VA 24558 | 2007-03-28 |
| 1144388166 | Marlise Blanks Crowe | Pharmacist | 4121 Halifax Road, Halifax, VA 24558 | 2006-12-04 |
| 1043420995 | Beth Ann Gillis | Counselor | 585 Buena Vista Dr, Halifax, VA 24558-2155 | 2007-05-22 |
| Find all providers in zip 24558 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 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.