PINK WIMBISH (NPI# 1689626798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689626798 |
| Entity Type | Individual |
| Full Name | PINK WIMBISH |
| Credential | D.P.M. |
| Practice Address |
1934 Braeburn Dr Salem VA 24153-7302 |
| Practice Telephone | 5409820253 |
| Practice Fax Number | 5409821996 |
| Mailing Telephone | 5409820253 |
| Mailing Fax Number | 5409821996 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103000859 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010191980 | 05 | |
| VA | RAILROAD MEDICARE | P00276625 | 01 |
| VA | RAILROAD MEDICARE | 480011609 | 01 |
| VA | ANTHEM BC BS | 181786 | 01 |
| Street Address |
1934 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720643018 | Salem Foot & Ankle Specialists Inc | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2019-05-02 |
| 1780978296 | Mahmoud Awni Salem | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2011-06-01 |
| 1366651754 | Valley Podiatry PC | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2007-05-22 |
| 1306891460 | Conrad Allison Claytor | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114199361 | John T. Callahan, Dpm | Podiatrist | 2235 Mission St Se Ste 150, Salem, OR 97302-1294 | 2008-03-27 |
| 1699879056 | Hamid Reza Arabshahi | Podiatrist | 1475 Commercial St Se, Salem, OR 97302-4307 | 2006-09-07 |
| 1497769871 | Robert Earl Smith | Podiatrist | 1070 E State St, Salem, OH 44460-2200 | 2006-07-28 |
| 1356369896 | William Vernon Wheeler | Podiatrist | 654 Church St Ne, Salem, OR 97301-2498 | 2006-07-17 |
| 1588698468 | Robert C Goodman | Podiatrist | 10 Colonial Rd Ste 8, Colonial Office Park, Salem, MA 01970-2947 | 2006-07-10 |
| 1316989775 | Ankle and Foot Care Centers | Podiatrist | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2006-06-11 |
| 1861496804 | John Thomas Callahan | Podiatrist | 2235 Mission St Se, Ste 150, Salem, OR 97302-1294 | 2005-06-08 |
| 1518960301 | Paul Shearer | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2005-05-24 |
| 1609438647 | Mina Sarbaz | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2019-06-30 |
| 1477931244 | Trevor Wood Tippets | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2015-05-13 |
| Find all providers in SALEM | ||||
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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.