ACHILLES FOOT & ANKLE SURGERY PC NPI 1619954906

NPI Information

NPI: 1619954906
Provider Name: ACHILLES FOOT & ANKLE SURGERY PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2108 LUMBER AVE STE 2
WHEELING, WV
ZIP 26003
Phone: (304) 243-8799
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ACHILLES FOOT & ANKLE SURGERY PC is a foot and ankle surgery podiatrist in Wheeling, WV. ACHILLES FOOT & ANKLE SURGERY PC NPI is 1619954906. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2108 LUMBER AVE STE 2
WHEELING, WV
ZIP 26003-350
Phone: (304) 243-8799
Fax: (740) 633-4716

The provider's authorized official is Bruce Gary Blank .
The authorized official title is President and has the following contact phone number (740) 633-4188.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 4/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	00239	WEST VIRGINIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	36002569B	OHIO	Yes

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
1	2006260	MEDICAID	OHIO
2	01756671	MEDICAID	PENNSYLVANIA
3	0850410002	MEDICARE NSC	OHIO
4	0099535001	MEDICAID	WEST VIRGINIA
5	=========00	OTHER	OHIO	BWC
6	=========02	OTHER	OHIO	BWC
7	9304592	MEDICARE PIN	OHIO
8	=========01	OTHER	OHIO	BWC
9	=========002	OTHER		MT STATE BCBS
10	5125771	OTHER		AETNA
11	0850410001	MEDICARE NSC	WEST VIRGINIA
12	9304601	MEDICARE PIN	WEST VIRGINIA
13	=========001	OTHER	WEST VIRGINIA	MT STATE BCBS
14	=========003	OTHER		MT STATE BCBS
15	9304591	MEDICARE PIN	OHIO
16	0850410003	MEDICARE NSC	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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