FAMILY FOOTCARE CENTERSPC NPI 1104097567

NPI Information

NPI: 1104097567
Provider Name: FAMILY FOOTCARE CENTERS,PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
801 VOLVO PKWY
SUITE 130
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 547-3668
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FAMILY FOOTCARE CENTERS,PC is a foot and ankle surgery podiatrist in Chesapeake, VA. FAMILY FOOTCARE CENTERS,PC NPI is 1104097567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 VOLVO PKWY
SUITE 130
CHESAPEAKE, VA
ZIP 23320-811
Phone: (757) 547-3668
Fax: (757) 547-4335

The provider's authorized official is Brenda S Fink .
The authorized official title is Office Manager and has the following contact phone number (757) 547-3668.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 4/20/2008.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103000946	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	419527	OTHER	VIRGINIA	FIRST HEALTH & LIFE INS
2	=========	OTHER	VIRGINIA	APWU
3	328129	OTHER		MDIPA/MAMSI ALLIANCE PPO
4	890802M	MEDICAID	NORTH CAROLINA
5	1235234741	OTHER	VIRGINIA	UNITED HEALTHCARE
6	35353	OTHER	VIRGINIA	OPTIMA
7	=========	OTHER	VIRGINIA	TRICARE
8	=========	OTHER	VIRGINIA	UNICARE LIFE & HEALTH INS
9	380109	OTHER	VIRGINIA	BLUE CROSS BLUE SHIELD
10	=========	OTHER	VIRGINIA	MAILHANDLERS INS CO
11	9302824	MEDICAID	VIRGINIA
12	=========	OTHER	VIRGINIA	PYRAMID LIFE INS CO

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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