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DR. COREY MICHAEL FIDLER D.P.M. NPI 1942566252


NPI Information

NPI: 1942566252
Provider Name: DR. COREY MICHAEL FIDLER, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016
Phone: (540) 725-1226
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DR. Corey Michael Fidler, D.P.M. is a foot and ankle surgery podiatrist in Roanoke, VA with 12 years of experience. DR. Corey Michael Fidler, D.P.M. NPI is 1942566252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2012

The provider's business location address is:

3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016-955
Phone: (540) 725-1226
Fax: (540) 857-5306

The NPI 1942566252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

The enumeration date for this NPI number is 4/11/2012 and was last updated on 11/17/2022.


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
1213E00000XPodiatrist0103301175VIRGINIANo
2213ES0103XPodiatristFoot & Ankle Surgery0103301175VIRGINIAYes

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
11942566252OTHERVIRGINIAOPTIMA HEALTH PLAN
21942566252OTHERVIRGINIAHUMANA MEDICARE
3540506332108OTHERVIRGINIATRICARE
41942566252OTHERVIRGINIAVA PREMIER
51942566252OTHERVIRGINIAHEALTHKEEPERS
61942566252OTHERVIRGINIACIGNA
71942566252OTHERVIRGINIAANTHEM
81942566252OTHERVIRGINIAUNITED HEALTHCARE
91942566252OTHERVIRGINIAGATEWAY
101942566252OTHERVIRGINIAAETNA
111942566252OTHERVIRGINIAHEALTHKEEPERS PLUS
121942566252OTHERVIRGINIAUMWA
131942566252MEDICAIDVIRGINIA

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

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.