HEATHER MARIE MCKENZIE (NPI# 1912959701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912959701 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE MCKENZIE |
| Credential | DPM |
| Practice Address |
3907 Bridge Rd Ste 101 Suffolk VA 23435-1133 |
| Mailing Address |
1520 Breezeport Way Suite 100 Suffolk VA 23435-3726 |
| Practice Telephone | 7579771026 |
| Practice Fax Number | 7577991027 |
| Mailing Telephone | 7576381823 |
| Mailing Fax Number | 7576381824 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1912959701 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103300937 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010181968 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053335059 | Heather L Mckenzie | Family Medicine | 12001 South Fwy Ste 302, Burleson, TX 76028-7215 | 2006-07-26 |
| 1811930431 | Heather A Mckenzie | Physical Medicine & Rehabilitation | 610 North Main, San Antonio, TX 78205-1204 | 2006-06-13 |
| 1639657521 | Heather Mckenzie | Pain Medicine | 2177 W Ironwood Center Dr, Coeur D Alene, ID 83814 | 2018-08-01 |
| 1972820256 | Heather Marie Mckenzie | Counselor | 3434 Kildaire Farm Rd, Suite 135 - 535, Raleigh, NC 27518-2278 | 2010-04-27 |
| 1942462874 | Heather D Mckenzie | Dietitian, Registered | 1105 Central Expy N, Ste 100, Allen, TX 75013-6103 | 2008-07-01 |
| 1669678058 | Heather Rose-anne Mckenzie | Anesthesiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2007-06-22 |
| Street Address |
3907 BRIDGE RD STE 101 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922562 | Jason Noah Choos | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2005-09-13 |
| 1164054169 | Mckenzie Institute for Foot & Ankle Surgery | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1144498924 | Antoinette D Adams, Dpm, PC | Podiatrist | 1035 Champions Way Suite 700, Harbour View Professional Center, Building 2, Suffolk, VA 23435 | 2008-02-14 |
| 1487692687 | Mckenzie Hastings Institute for Foot & Ankle Surgery, LLC | Podiatrist | 1520 Breezeport Way, Suite 100, Suffolk, VA 23435-3726 | 2006-06-02 |
| 1144226853 | Matthew C Dairman | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2005-06-27 |
| 1164054169 | Mckenzie Institute for Foot & Ankle Surgery | Podiatrist | 3907 Bridge Rd Ste 101, Suffolk, VA 23435-1133 | 2020-02-07 |
| 1437692530 | Gerard Anthony Costella | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2016-11-22 |
| 1750744355 | Nunzio Misseri | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2016-03-31 |
| 1124401948 | Devin Christopher Carroll | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2015-06-30 |
| 1275875718 | Eric Moffett | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2013-03-22 |
| Find all providers in SUFFOLK | ||||
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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.