HAMPTON ROADS PODIATRY PC (NPI# 1538279260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538279260 |
Entity Type | Organization |
Organization Name | HAMPTON ROADS PODIATRY PC |
Practice Address |
5241 Princess Anne Road Suite 102 Va Beach VA 23462 |
Practice Telephone | 7574970859 |
Practice Fax Number | 7574970976 |
Mailing Telephone | 7574970859 |
Mailing Fax Number | 7574970976 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RUDOLPH CLINTON ANDERSON JR. (PRESIDENT) |
Authorized Official Telephone | 7574970859 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103001041 | VA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 9304240 | 05 |
Street Address |
5241 PRINCESS ANNE ROAD SUITE 102 |
City | VA BEACH |
State | VA |
Zip Code | 23462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
Find all providers in zip 23462 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528666971 | Virtual Foot and Ankle Care, LLC | Podiatrist | 5970 Derwent Rd, Powhatan, VA 23139-4620 | 2020-10-16 |
1891137048 | Tidewater Foot Center LLC | Podiatrist | 126 Monarch Dr, Newport News, VA 23602-6884 | 2013-07-29 |
1346540515 | All American Podiatry and Wound Care, P.C. | Podiatrist | 4620 Bunker Hill Ln, Virginia Beach, VA 23462-2245 | 2010-10-22 |
1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
1942326137 | Rosemary Cecile O'grady | Podiatrist | 1942 William St, Fredericksburg, VA 22401-5128 | 2007-03-21 |
1144360058 | Podiatric Care of Northern Virginia, PC | Podiatrist | 821 S King St Ste I, Leesburg, VA 20175-3922 | 2007-02-08 |
1477638526 | Jerald A. Kriger | Podiatrist | 8605 Sudley Rd, Manassas, VA 20110-4583 | 2006-10-26 |
1275623043 | Virginia Footcare Center, LLC | Podiatrist | 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554-1767 | 2006-10-13 |
1265538979 | Paul Thomas Spada | Podiatrist | 533 Rodney Ln, Virginia Beach, VA 23464-2227 | 2006-09-16 |
1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on HAMPTON ROADS PODIATRY PC.
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.