RALEIGH ST PODIATRY INC. NPI 1083752364

NPI Information

NPI: 1083752364
Provider Name: RALEIGH ST PODIATRY INC.
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
411 S RALEIGH ST
MARTINSBURG, WV
ZIP 25401
Phone: (304) 264-9525
Get Directions

RALEIGH ST PODIATRY INC. is a foot surgery podiatrist in Martinsburg, WV. RALEIGH ST PODIATRY INC. NPI is 1083752364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 S RALEIGH ST
MARTINSBURG, WV
ZIP 25401-640
Phone: (304) 264-9525
Fax: (304) 264-9524

The provider's authorized official is John Thomas Acree .
The authorized official title is President and has the following contact phone number (304) 264-9525.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	00317	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0842821	MEDICARE PIN	WEST VIRGINIA
2	001710711	OTHER	WEST VIRGINIA	BCBS
3	5064670002	MEDICARE NSC	WEST VIRGINIA
4	325M	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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