MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY (NPI# 1164054169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164054169 |
| Entity Type | Organization |
| Organization Name | MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY |
| Practice Address |
3907 Bridge Rd Ste 101 Suffolk VA 23435-1133 |
| Practice Telephone | 7576381823 |
| Practice Fax Number | 7576381824 |
| Mailing Telephone | 7576381823 |
| Mailing Fax Number | 7576381824 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MRS. HEATHER MARIE MCKENZIE (PHYSICIAN) |
| Authorized Official Telephone | 7576381823 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | McKenzie Institute for Foot & Ankle Surgery LLC | 208 Wentworth Court, Suffolk, Virginia 23436 |
| Street Address |
3907 BRIDGE RD STE 101 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922562 | Jason Noah Choos | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2005-09-13 |
| 1912959701 | Heather Marie Mckenzie | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1144498924 | Antoinette D Adams, Dpm, PC | Podiatrist | 1035 Champions Way Suite 700, Harbour View Professional Center, Building 2, Suffolk, VA 23435 | 2008-02-14 |
| 1487692687 | Mckenzie Hastings Institute for Foot & Ankle Surgery, LLC | Podiatrist | 1520 Breezeport Way, Suite 100, Suffolk, VA 23435-3726 | 2006-06-02 |
| 1144226853 | Matthew C Dairman | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2005-06-27 |
| 1437692530 | Gerard Anthony Costella | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2016-11-22 |
| 1750744355 | Nunzio Misseri | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2016-03-31 |
| 1124401948 | Devin Christopher Carroll | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2015-06-30 |
| 1275875718 | Eric Moffett | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2013-03-22 |
| 1386901130 | Chantel M. Pinnock | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2012-04-18 |
| Find all providers in SUFFOLK | ||||
Please comment or provide details below to improve the information on MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY.
| 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.