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FOOTWISE PODIATRY OF W.VA. INC. NPI 1447313564


NPI Information

NPI: 1447313564
Provider Name: FOOTWISE PODIATRY OF W.VA. INC.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1191 PINEVIEW DR STE H1
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-9000
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FOOTWISE PODIATRY OF W.VA. INC. is a podiatrist in Morgantown, WV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOTWISE PODIATRY OF W.VA. INC. NPI is 1447313564. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1191 PINEVIEW DR STE H1
MORGANTOWN, WV
ZIP 26505-480
Phone: (304) 599-9000
Fax: (304) 599-4091

The provider's authorized official is Gordon A Miller .
The authorized official title is President Physician and has the following contact phone number (304) 599-9000.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/12/2022.


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
1213EP1101XPodiatristPrimary Podiatric MedicineNo
2213E00000XPodiatrist193400000XWEST VIRGINIAYes

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
10008547000MEDICAIDWEST VIRGINIA
2001709829OTHERWEST VIRGINIABLUE CROSS

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: 4/28/2024

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