WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC (NPI# 1053408674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053408674 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC |
| Other Organization Name | WV FOOT CARE SPECIALISTS, PLLC |
| Practice Address |
3860 Teays Valley Rd Suite 1 Hurricane WV 25526-9772 |
| Practice Telephone | 3047575880 |
| Practice Fax Number | 3047575881 |
| Mailing Telephone | 3047575880 |
| Mailing Fax Number | 3047575881 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | DR. JOHN B WHITE III III (MEMBER) |
| Authorized Official Telephone | 3047575880 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0204238000 | 05 |
| Other Name | Type Code |
|---|---|
| WV Foot Care Specialists, PLLC | Doing Business As Name - Organization |
| Street Address |
3860 TEAYS VALLEY RD SUITE 1 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923495 | John Bowman White IIi | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2005-09-23 |
| 1821471319 | Medtest Laboratories LLC | Clinical Medical Laboratory | 3860 Teays Valley Rd, Suite 2, Hurricane, WV 25526-9772 | 2015-07-02 |
| 1700201027 | Integrated Health Care Providers, Inc. | Internal Medicine | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2014-02-24 |
| 1801069042 | Teays Dental Care | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2008-04-09 |
| 1093865305 | Craig Smolder | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2007-01-11 |
| 1346269339 | John M Clark Md & Associates Pllc | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-07-19 |
| 1609815786 | John Mirrell Clark | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-06-05 |
| 1306826508 | J Michael Muto II | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923495 | John Bowman White IIi | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841479813 | Panhandle Podiatry Pllc | Podiatrist | 489 Mid Atlantic Parkway, Suite 1, Martinsburg, WV 25404-3594 | 2007-10-26 |
| 1346350030 | Gerald Marshall Erskine | Podiatrist | 336 Seneca Trl, 219 North, Ronceverte, WV 24970-1320 | 2006-08-30 |
| 1437119856 | Martin M Mrozek | Podiatrist | 27 Parsons Lane, Fayetteville, WV 25840-0957 | 2006-03-28 |
| 1952736357 | Wheeling Foot Clinic | Podiatrist | 903 Wheeling Ave, Glen Dale, WV 26038-1662 | 2013-09-05 |
| 1033483763 | Wheeling Foot Clinic | Podiatrist | 1061 Main St, Wheeling, WV 26003-2701 | 2012-02-27 |
| 1053574392 | Matthew Allen Polk | Podiatrist | 83 War Memorial Dr, Berkeley Springs, WV 25411 | 2008-07-07 |
| 1326227380 | Leonard A. Reynolds, Dpm | Podiatrist | 1025 Main St, Suite 602, Wheeling, WV 26003-2726 | 2007-10-26 |
| 1114112042 | David James Cornish | Podiatrist | 314 Goff Mountain Rd, Suite #1, Cross Lanes, WV 25313-6602 | 2007-09-13 |
Please comment or provide details below to improve the information on WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC.
| 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.