MOBILE PODIATRY (NPI# 1023473139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023473139 |
Entity Type | Organization |
Organization Name | MOBILE PODIATRY |
Practice Address |
704 Windy Way Unit 206 Newport News VA 23602-5698 |
Mailing Address |
Po Box 2553 Newport News VA 23609-0553 |
Practice Telephone | 4437357542 |
Mailing Telephone | 4437357542 |
Enumeration Date | 2015-12-17 |
Last Update Date | 2015-12-17 |
Authorized Official Name | DR. DESIREE M REYES (OWNER) |
Authorized Official Telephone | 4437357542 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | MOBILE PODIATRY ASSOCIATES, P.L.L.C. | 27718 Franklin Rd., Southfield, MI 48034 |
Indiana Business Entities | MOBILE PODIATRY OF INDIANA LLC | 4501 Upper Mt Vernon Road, Evansville, IN 47712 |
Street Address |
704 WINDY WAY UNIT 206 |
City | NEWPORT NEWS |
State | VA |
Zip Code | 23602-5698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
Find all providers in zip 23602 |
Taxonomy Code | 261QP1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Podiatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730413584 | Desiree Mary Reyes | Clinic/Center | 704 Windy Way 206, Newport News, VA 23602-5698 | 2009-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558919134 | Privia Medical Group, LLC | Clinic/Center | 104a E Broad St Ste A, Falls Church, VA 22046-4501 | 2019-08-28 |
1427473206 | Craig A Wilhelms, Dpm, PC | Clinic/Center | 2149 Electric Rd Ste 5, Roanoke, VA 24018-1975 | 2014-03-03 |
1144593948 | Augusta Podiatric Medicine & Surgery Inc. | Clinic/Center | 100 Mactanly Pl, Suite A, Staunton, VA 24401-2383 | 2012-02-10 |
1053522748 | Rebecca A Metz Dpm PC | Clinic/Center | 932 Edwards Ferry Rd, Suite 105, Leesburg, VA 20176 | 2007-05-24 |
1821084872 | Dr N Hines & T Fahy | Clinic/Center | 301 Maple Ave W, Building 3 Ste F6, Vienna, VA 22180-4301 | 2005-09-26 |
1770112518 | Wehman Foot and Ankle LLC | Clinic/Center | 5700 Old Richmond Ave Ste E24, Richmond, VA 23226-1828 | 2020-04-03 |
1750602389 | Srikanth Mahavadi, Dpm PC | Clinic/Center | 9050 Pocahontas Trail, Suite #f, Providence Forge, VA 23140-0357 | 2010-06-17 |
1295061851 | Holmes & Guy Podiatrists, P C | Clinic/Center | 1700 Rosedale Ct, Woodbridge, VA 22191-3016 | 2009-11-02 |
1861628596 | Steven E. Lipson, Dpm | Clinic/Center | 8206 Leesburg Pike, Suite 401, Vienna, VA 22182-2614 | 2009-06-09 |
1417183534 | Springfield Foot & Ankle Center, Ltd. | Clinic/Center | 6116 Rolling Rd, Suite 116, Springfield, VA 22152-1521 | 2009-06-03 |
Find all providers with the same taxonomy |
City | NEWPORT NEWS |
Zip Code | 23602 |
Please comment or provide details below to improve the information on MOBILE PODIATRY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.