LYNNHAVEN FOOT AND ANKLE CENTER, INC. (NPI# 1881746642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881746642 |
| Entity Type | Organization |
| Organization Name | LYNNHAVEN FOOT AND ANKLE CENTER, INC. |
| Practice Address |
1547 Amberley Forest Rd Virginia Beach VA 23453-4706 |
| Practice Telephone | 7579636363 |
| Practice Fax Number | 7573633453 |
| Mailing Telephone | 7579636363 |
| Mailing Fax Number | 7573633453 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | DR. ANTHONY J. VUOLO JR. (PRESIDENT) |
| Authorized Official Telephone | 7579636363 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0103300951 | VA | Suppliers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103300951 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE DMEPOS | 5936440001 | 01 |
| VA | 1026024 | 05 |
| Street Address |
1547 AMBERLEY FOREST RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23453-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972569598 | Anthony J. Vuolo Jr. | Podiatrist | 1547 Amberley Forest Rd, Virginia Beach, VA 23453-4706 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346109 | Sumaca S.a De C.v. | General Acute Care Hospital | Paseo De La Marina Int 4116, El Medano, San Jose Del Cabo, BAJA CALIFORNIA SUR 23453 | 2018-05-17 |
| 1336644814 | Jessica Zuckerman | Family Medicine | 2309 Nettleford Way, Virginia Beach, VA 23453 | 2018-03-27 |
| 1811359623 | Jana Leigh Dillon | Behavioral Analyst | 3101 Magic Hollow Blvd Ste 101, Virginia Beach, VA 23453 | 2016-03-22 |
| 1679903249 | Carmen Robinson | Physical Therapy Assistant | 3729 Purebred Dr, Virginia Beach, VA 23453 | 2013-11-19 |
| 1386986891 | Christina Pryor | Behavioral Analyst | Nbc 1531 Amberley Forest Road, Virginia Beach, VA 23453 | 2013-03-22 |
| 1417222415 | Rebecca Lynn Dahlka | Contractor | 1404 Planting Ct., Virginia Beach, VA 23453 | 2012-03-09 |
| 1730405879 | Coastal Dermatology P.C. | Dermatology | 3176 Holland Rd., 103, Virginia Beach, VA 23453 | 2010-04-14 |
| 1235466277 | Michael Allen Brasko | Specialist/Technologist, Other | 2604 Olympic Drive, Virginia Beach, VA 23453 | 2009-11-12 |
| 1518101385 | Matthew Faauli | Social Worker | 3134 Magic Hollow Blvd, Ste 200, Virginia Beach, VA 23453 | 2009-04-23 |
| 1104902246 | Cynthia Tapp Elswick | Social Worker | 3432 Magic Hollow Blvd, Suite 200, Va. Beach, VA 23453 | 2006-10-31 |
| Find all providers in zip 23453 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1295006575 | Bradley Adam Levitt | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2012-01-19 |
| 1649248071 | John P D'amelio | Podiatrist | 3720 Holland Rd, Ste 100, Virginia Beach, VA 23452-2859 | 2006-03-10 |
| 1700854130 | Robert D Tupper | Podiatrist | 4224 Holland Rd, Suite # 106, Virginia Beach, VA 23452-1900 | 2006-03-10 |
| 1669445300 | Robert W Sullivan | Podiatrist | 1700 Pleasure House Rd, Suite 101-102, Virginia Beach, VA 23455-4053 | 2006-02-13 |
| 1235123019 | Michael Holtz | Podiatrist | 5253 Providence Rd, Suite 100, Virginia Beach, VA 23464-4201 | 2005-09-07 |
| 1295729663 | Steven M Taubman | Podiatrist | 996 First Colonial Rd, Virginia Beach, VA 23454-3175 | 2005-08-31 |
| 1003809112 | Jay I Tischler | Podiatrist | 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454-2406 | 2005-08-24 |
| 1447259031 | David J Cho | Podiatrist | 1232 Perimeter Pkwy, Suite 102, Virginia Beach, VA 23454-5689 | 2005-07-18 |
| 1366885485 | Scott Collins Carrington | Podiatrist | 1788 Republic Rd Ste 300, Virginia Beach, VA 23454-4552 | 2013-04-08 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23453 |
Please comment or provide details below to improve the information on LYNNHAVEN FOOT AND ANKLE CENTER, INC..
| 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.