FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC (NPI# 1174968218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174968218 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| Practice Address |
5504 Maccorkle Ave Se Charleston WV 25304-2320 |
| Mailing Address |
Po Box 365 Prosperity WV 25909-0365 |
| Practice Telephone | 3044879442 |
| Practice Fax Number | 8664204578 |
| Mailing Telephone | 3044879442 |
| Mailing Fax Number | 8664204578 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | TIMOTHY DONATELLI (OWNER) |
| Authorized Official Telephone | 3044879442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00363 | WV | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740749928 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 4141 Teays Valley Rd, Hurricane, WV 25526-9772 | 2019-03-18 |
| 1538504345 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 1 Cook Parkway, Oceana, WV 24870 | 2013-05-07 |
| 1003251141 | Foot and Ankle Clinic of The Virginias Inc | Pathology | 2036 Leatherwood Ln, Bluefield, VA 24605-2020 | 2013-05-02 |
| 1710504048 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 6007 Us Route 60 E Ste 228, Barboursville, WV 25504-1042 | 2020-07-02 |
| 1982255576 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 101 1st St Nw, Pulaski, VA 24301-5605 | 2019-09-25 |
| 1932555091 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 134 Beckley Crossing, Beckley, WV 25801 | 2016-05-09 |
| 1780029728 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 3708 S Main St, Ste G, Blacksburg, VA 24060-7007 | 2013-05-03 |
| 1598100539 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 401 6th Ave, Montgomery, WV 25136-2116 | 2013-05-03 |
| 1740227909 | Foot and Ankle Clinic of The Virginias Inc | Podiatrist | 401 Rogers St, Princeton, WV 24740-3636 | 2006-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Foot and Ankle Clinic of the Virginias Inc. | 401 Rogers St, Princeton, West Virginia 24740 |
| Street Address |
5504 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992904270 | Carrie Parris Frame | Podiatrist | 100 Tracy Way Ste 400, Charleston, WV 25311 | 2007-07-16 |
| 1376597062 | Stuart L Tessler | Podiatrist | 60 Markfield Dr, #3, Charleston, SC 29407-7907 | 2006-05-19 |
| 1134183643 | Mohammad Imani | Podiatrist | 4813 Maccorkle Ave Se, Charleston, WV 25304-1948 | 2006-04-12 |
| 1164497582 | Dennis Emerson Martin | Podiatrist | 9279 Medical Plaza Dr, Suite D, Charleston, SC 29406-9141 | 2006-02-20 |
| 1699279455 | Neurological Associates, Inc. | Podiatrist | 100 Tracy Way, Charleston, WV 25311-1257 | 2018-03-19 |
| 1811212137 | Roper Saint Francis Physicians Network | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2010-03-30 |
| 1639492473 | Rahn Antonio Ravenell | Podiatrist | 171 Ashley Ave, Charleston, SC 29425-1810 | 2010-03-08 |
| 1578742631 | Carrie A Lakin | Podiatrist | 331 Laidley St, Suite 602, Charleston, WV 25301-1619 | 2007-10-25 |
| 1760531495 | Charleston Podiatry Pa | Podiatrist | 60 Markfield Dr, Ste 3, Charleston, SC 29407-7907 | 2007-01-10 |
| 1700990231 | Associated Foot Specialists Pa | Podiatrist | 2097 Henry Tecklenburg Dr, Suite 210w, Charleston, SC 29414-5740 | 2006-08-19 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC.
| 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.