Provider Type Icon

MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC NPI 1093382681


NPI Information

NPI: 1093382681
Provider Name: MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
6055 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112
Phone: (804) 500-0949
Get Directions

MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC is a foot and ankle surgery orthopaedic surgery in Midlothian, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC NPI is 1093382681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6055 HARBOUR PARK DR
MIDLOTHIAN, VA
ZIP 23112-160
Phone: (804) 500-0949
Fax: (804) 500-0946

The provider's authorized official is Jungmin Yoo .
The authorized official title is Ceo and has the following contact phone number (804) 500-0949.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 7/27/2023.


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
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryYes

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: 5/5/2024

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.