ACTIVE FOOT AND ANKLE CENTER (NPI# 1326453499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326453499 |
| Entity Type | Organization |
| Organization Name | ACTIVE FOOT AND ANKLE CENTER |
| Practice Address |
632 Cedar Rd Suite B Chesapeake VA 23322-8376 |
| Practice Telephone | 7575470123 |
| Mailing Telephone | 7575470123 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | DR. MUNJED SALEM (MANAGER) |
| Authorized Official Telephone | 7575470123 |
| 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 |
VA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427464726 | Active Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2014-07-08 |
| 1487808960 | Active Foot and Ankle Center | Clinic/Center | 1545 Ne 65th St, Seattle, WA 98115-6800 | 2008-11-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE FOOT AND ANKLE CENTER | 490 Murphy Rd, Medford, OR 97504 |
| Virginia Business Entities | Active Foot and Ankle Center PC | 632 Cedar Road, Suite B, Chesapeake, Virginia 23322 |
| Street Address |
632 CEDAR RD SUITE B |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23322-8376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653440 | George H Evancho | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2005-07-20 |
| 1427464726 | Active Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2014-07-08 |
| 1790021061 | Stephen A. Asam, D.d.s., P.C. | Dentist | 632 Cedar Rd, Suite A, Chesapeake, VA 23322-8376 | 2012-12-14 |
| 1558681197 | Munjed Salem | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2010-06-06 |
| 1902817117 | Dr. George H. Evancho, P.C. | Durable Medical Equipment & Medical Supplies | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2006-08-11 |
| 1326058132 | Dr. George H. Evancho, P.C. | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2006-08-08 |
| 1558347922 | Stephen Adolf Asam | Dentist | 632 Cedar Rd, Suite A., Chesapeake, VA 23322-8376 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1235648213 | Sarah Nagy | Specialist/Technologist | 205 Rountree Drive, Chesapeake, VA 23322 | 2017-09-22 |
| 1629590286 | Jack Beverly Harris Jr. | Contractor | 156 Greengable Way, Chesapeake, VA 23322 | 2017-07-14 |
| 1528597911 | Sara Osborne | Speech-Language Pathologist | 404 Mike Trail, Chesapeake, VA 23322 | 2017-06-08 |
| 1194100198 | Kerry Maldiner | Marriage & Family Therapist | 501 Cedar Rd Ste 2c, Chesapeake, VA 23322 | 2015-07-21 |
| 1619361532 | Kathryn Restaino | Student in an Organized Health Care Education/Training Program | 705 Forest Mills Rd, Chesapeake, VA 23322 | 2015-03-28 |
| 1083037212 | Kenneth E. Grindlay | Dentist | 228 Mount Pleasant Rd., Chesapeake, VA 23322 | 2014-01-23 |
| 1841538006 | Karen Mcquarrie | Behavioral Analyst | 1200 Jamaica Avenue, Chesapeake, VA 23322 | 2013-01-23 |
| 1255615886 | Vera Roberts Jackson | Pharmacist | 321 Battlefield Blvd. South, Chesapeake, VA 23322 | 2011-09-30 |
| 1669754628 | Jacqueline Dungan | Pharmacist | 201 Hanbury Road E, Chesapeake, VA 23322 | 2011-09-15 |
| Find all providers in zip 23322 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1376578922 | Rex Galam Diaz | Podiatrist | 612 Kingsborough Sq Ste 202, Chesapeake, VA 23320-5054 | 2006-07-12 |
| 1720079080 | Erin A Jerlin | Podiatrist | 808 Battlefield Blvd S, Chesapeake, VA 23322-6611 | 2005-11-04 |
| 1497220339 | Jerlin Podiatry LLC | Podiatrist | 808 Battlefield Blvd S, Chesapeake, VA 23322-6611 | 2018-10-08 |
| 1174778906 | Family Foot Care Center, P.a. | Podiatrist | 801 Volvo Pkwy, #130, Chesapeake, VA 23320-2811 | 2008-11-20 |
| 1104097567 | Family Footcare Centers,pc | Podiatrist | 801 Volvo Pkwy, Suite 130, Chesapeake, VA 23320-2811 | 2008-03-13 |
| 1356462303 | Chesapeake Foot and Ankle Center PC | Podiatrist | 300 Medical Pkwy, Suite 303, Chesapeake, VA 23320-4985 | 2007-04-03 |
| 1235234741 | Marc Joel Fink | Podiatrist | 801 Volvo Pkwy, Suite 130, Chesapeake, VA 23320-2811 | 2006-09-13 |
| 1326058132 | Dr. George H. Evancho, P.C. | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2006-08-08 |
| 1679546014 | William Scott Wooddell | Podiatrist | 300 Medical Parkway, Suite 303, Chesapeake, VA 23320-4516 | 2006-02-08 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23322 |
Please comment or provide details below to improve the information on ACTIVE FOOT AND ANKLE CENTER.
| 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.