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PODIATRY GROUP LLC NPI 1396820486


NPI Information

NPI: 1396820486
Provider Name: PODIATRY GROUP, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
600 PETER JEFFERSON PARKWAY
SUITE 360
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 979-0763
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PODIATRY GROUP, LLC is a podiatrist in Charlottesville, 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. PODIATRY GROUP, LLC NPI is 1396820486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 PETER JEFFERSON PARKWAY
SUITE 360
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 979-0763
Fax: (434) 979-8681

The provider's authorized official is Jimmy Wayne Downing .
The authorized official title is Owner Provider and has the following contact phone number (434) 979-0763.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 2/8/2011.


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
1213E00000XPodiatristYes

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
1CG1858OTHERVIRGINIAMEDICARE RAILROAD
21306060001MEDICARE NSCVIRGINIA

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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