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COMMONWEALTH FOOT & ANKLE SPECIALISTS LLC NPI 1184101065


NPI Information

NPI: 1184101065
Provider Name: COMMONWEALTH FOOT & ANKLE SPECIALISTS LLC

Doing Business As: COMMONWEALTH FOOT & ANKLE SPECIALISTS

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2552 ALDRIDGE AVE
SOUTH CHESTERFIELD, VA
ZIP 23834
Phone: (804) 365-5898
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COMMONWEALTH FOOT & ANKLE SPECIALISTS LLC is a podiatrist in South Chesterfield, VA. 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. COMMONWEALTH FOOT & ANKLE SPECIALISTS LLC NPI is 1184101065. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Commonwealth Foot & Ankle Specialists.

The provider's business location address is:

2552 ALDRIDGE AVE
SOUTH CHESTERFIELD, VA
ZIP 23834-306
Phone: (804) 365-5898

The provider's authorized official is Justin A Phillingane .
The authorized official title is Foot & Ankle Specialist and has the following contact phone number (804) 365-5898.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.


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
1213E00000XPodiatrist0103301225VIRGINIAYes

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
10103301225OTHERVIRGINIAVIRGINIA BOARD OF MEDICINE

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

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