COMMONWEALTH FOOT AND ANKLE, INC. (NPI# 1295200681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295200681 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH FOOT AND ANKLE, INC. |
| Practice Address |
3333 S Crater Rd Petersburg VA 23805-9276 |
| Mailing Address |
453 Mclaws Cir Ste 1 Williamsburg VA 23185-5621 |
| Practice Telephone | 8047326000 |
| Mailing Telephone | 7572203311 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | DR. SARA M BOURAEE (PRESIDENT) |
| Authorized Official Telephone | 7572342905 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
3333 S CRATER RD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021720 | Total Homecare Corporation | Durable Medical Equipment & Medical Supplies | 3333 S Crater Rd, Ste 5, Petersburg, VA 23805 | 2005-05-27 |
| 1518135763 | Edward Boakye M.d.,p.c | Internal Medicine | 3333 S Crater Rd, Suite 3 C, Petersburg, VA 23805-9276 | 2008-02-11 |
| 1124140918 | Back Pain Inc | Family Medicine | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2007-04-04 |
| 1225157514 | Amedisys Home Health Inc of Virginia | Home Health | 3333 S Crater Rd, Suite 4-b, Petersburg, VA 23805-9276 | 2007-03-28 |
| 1376682153 | Dr Marc Jay Pinsky PC | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2007-02-06 |
| 1902910417 | Gilda H. Pegram | Registered Nurse | 3333 S Crater Rd, ., Petersburg, VA 23805-9276 | 2006-08-19 |
| 1699781393 | Alliance Family Health Care, PC | Family Medicine | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-08-01 |
| 1457378804 | Alliance Family Practice, PC | Nurse Practitioner | 3333 S Crater Rd, Suite 3a, Petersburg, VA 23805-9276 | 2006-07-15 |
| 1386698124 | Jeffrey Hall Pinsky | Podiatrist | 3333 S Crater Rd, Petersburg, VA 23805-9276 | 2006-05-19 |
| 1174590186 | Marc Jay Pinsky | Podiatrist | 3333 S Crater Rd, Suite 3e, Petersburg, VA 23805-9276 | 2006-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427544048 | Jsnv Medical LLC | Podiatrist | 601 Old Wagner Rd, Petersburg, VA 23805-9313 | 2018-07-06 |
| 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 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.