DR. CALVIN HERBERT KIBWE SYDNOR IV (NPI# 1477510840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477510840 |
| Entity Type | Individual |
| Full Name | DR. CALVIN HERBERT KIBWE SYDNOR IV |
| Credential | DPM, FACFAS |
| Practice Address |
1618 Hardy Cash Dr Hampton VA 23666-2400 |
| Practice Telephone | 7578255783 |
| Practice Fax Number | 7578259658 |
| Mailing Telephone | 7578255783 |
| Mailing Fax Number | 7578259658 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103000929 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009300481 | 05 |
| Street Address |
1618 HARDY CASH DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023097615 | Cecelia Clarke | Nurse Practitioner | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-01-11 |
| 1003461443 | Tyler Martin | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2019-08-02 |
| 1619448420 | American Foot & Ankle Center | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2018-12-06 |
| 1710466867 | Funmilayo M Hill | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2018-08-09 |
| 1447763701 | John Vincent Klemer | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2017-11-08 |
| 1235651308 | Cheryl Monroe | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2017-07-11 |
| 1790210664 | Carlos Myers | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2017-04-27 |
| 1780031500 | Savannah Fabien | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2016-05-22 |
| 1609006931 | Laquirsta V White | Physical Therapist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2009-07-21 |
| 1851474944 | David Gary Morgan Sr. | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456001 | Jon D Houseworth | Podiatrist | 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 | 2012-08-08 |
| 1750678645 | Mirsada Hasanovic | Podiatrist | 2202 Executive Dr Ste A, Hampton, VA 23666-6604 | 2011-06-30 |
| 1386677805 | Alberto Francisco Orosco Jr. | Podiatrist | Hampton Veterans Hospital, Emancipation Drive, Hampton, VA 23667-0001 | 2006-07-08 |
| 1417950973 | Arnold Sherman Beresh | Podiatrist | 2202 Executive Dr, Ste A, Hampton, VA 23666-6604 | 2005-05-27 |
| 1467014001 | Sara Bouraee, LLC | Podiatrist | 3000 Coliseum Dr Ste 205, Hampton, VA 23666-5963 | 2019-07-03 |
| 1619448420 | American Foot & Ankle Center | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2018-12-06 |
| 1851474944 | David Gary Morgan Sr. | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-10-23 |
| 1700974243 | Peninsula Foot & Ankle Specialists Plc | Podiatrist | 2202 Executive Dr, Suite A, Hampton, VA 23666-6604 | 2006-10-10 |
| 1295792562 | Earnest Paul Sims Mawusi | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-04-28 |
| 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 |
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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.