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ADVANCED FOOT & ANKLE CARE LLC NPI 1093036857


NPI Information

NPI: 1093036857
Provider Name: ADVANCED FOOT & ANKLE CARE LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2008 GENERAL BOOTH BLVD
SUITE B
VIRGINIA BEACH, VA
ZIP 23454
Phone: (757) 301-9996
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ADVANCED FOOT & ANKLE CARE LLC is a foot and ankle surgery podiatrist in Virginia Beach, VA. ADVANCED FOOT & ANKLE CARE LLC NPI is 1093036857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2008 GENERAL BOOTH BLVD
SUITE B
VIRGINIA BEACH, VA
ZIP 23454-910
Phone: (757) 301-9996
Fax: (757) 301-9958

The provider's authorized official is Joseph Vincent Bava .
The authorized official title is Owner and has the following contact phone number (757) 301-9996.

The enumeration date for this NPI number is 6/16/2010 and was last updated on 6/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery0103001037VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19303499MEDICAIDVIRGINIA
2U71614MEDICARE UPINVIRGINIA
36548110001MEDICARE NSCVIRGINIA
4480000601MEDICARE PINVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.