PENINSULA FOOT & ANKLE SPECIALISTS PLC (NPI# 1700974243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700974243 |
| Entity Type | Organization |
| Organization Name | PENINSULA FOOT & ANKLE SPECIALISTS PLC |
| Other Organization Name | PENINSULA FOOT AND ANKLE SPECIALISTS, PLC |
| Practice Address |
2202 Executive Dr Suite A Hampton VA 23666-6604 |
| Practice Telephone | 7578277111 |
| Practice Fax Number | 7578277164 |
| Mailing Telephone | 7578277111 |
| Mailing Fax Number | 7578277164 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | DR. ARNOLD SHERMAN BERESH (MANAGER) |
| Authorized Official Telephone | 7578277111 |
| 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 |
0103000644 | VA | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Peninsula Foot and Ankle Specialists, PLC | Former Legal Business Name - Organization |
| Street Address |
2202 EXECUTIVE DR SUITE A |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950973 | Arnold Sherman Beresh | Podiatrist | 2202 Executive Dr, Ste A, Hampton, VA 23666-6604 | 2005-05-27 |
| 1912459710 | Jennifer Muro | Social Worker | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2016-10-27 |
| 1992153316 | Marina Kuzmina | Counselor | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2016-05-26 |
| 1578925459 | Carolyn Bridges | Psychologist | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2016-03-22 |
| 1275993842 | Michelle Miller | Social Worker | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2016-02-25 |
| 1588023030 | 1foot 2foot Centre for Foot and Ankle Care | Durable Medical Equipment & Medical Supplies | 2202 Executive Dr, Suite A, Hampton, VA 23666-6604 | 2016-02-12 |
| 1952779472 | Candace Lassiter | Psychologist | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2015-09-15 |
| 1447668652 | Ashley Wroton | Counselor | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2014-07-31 |
| 1821400292 | Jennifer Belz | Counselor | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2014-05-20 |
| 1447688064 | Connie Griffin | Counselor | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2013-10-16 |
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| 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 |
| 1477510840 | Calvin Herbert Kibwe Sydnor Iv | Podiatrist | 1618 Hardy Cash Dr, Hampton, VA 23666-2400 | 2006-04-28 |
| 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.