ERIC MOFFETT (NPI# 1275875718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275875718 |
| Entity Type | Individual |
| Full Name | ERIC MOFFETT |
| Credential | DPM |
| Practice Address |
171 N Main St Suffolk VA 23434-4507 |
| Practice Telephone | 7579340768 |
| Mailing Telephone | 7579340768 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301183 | VA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070726 | Eric Moffett | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2019-12-16 |
| Street Address |
171 N MAIN ST |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1386901130 | Chantel M. Pinnock | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2012-04-18 |
| 1518196054 | John Martin Aalto | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2009-07-06 |
| 1154416352 | Marc A Barbella | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| 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 |
| 1164054169 | Mckenzie Institute for Foot & Ankle Surgery | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2020-02-07 |
| 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 |
| 1386901130 | Chantel M. Pinnock | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2012-04-18 |
| Find all providers in SUFFOLK | ||||
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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.