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PODIATRY LTD NPI 1972600104


NPI Information

NPI: 1972600104
Provider Name: PODIATRY LTD
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
3511 WESTERN BRANCH BLVD
PORTSMOUTH, VA
ZIP 23707
Phone: (757) 399-5621
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PODIATRY LTD is a foot surgery podiatrist in Portsmouth, VA. PODIATRY LTD NPI is 1972600104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3511 WESTERN BRANCH BLVD
PORTSMOUTH, VA
ZIP 23707-133
Phone: (757) 399-5621
Fax: (757) 397-5889

The provider's authorized official is Derba Jean Aleck .
The authorized official title is Owner and has the following contact phone number (757) 399-5621.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryYes

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
10545880001MEDICARE NSCVIRGINIA
2C00923MEDICARE 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: 4/28/2024

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