VALLEY PODIATRY PC (NPI# 1366651754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366651754 |
| Entity Type | Organization |
| Organization Name | VALLEY PODIATRY PC |
| Practice Address |
1934 Braeburn Dr Salem VA 24153-7302 |
| Practice Telephone | 5409820253 |
| Practice Fax Number | 5409821996 |
| Mailing Telephone | 5409820253 |
| Mailing Fax Number | 5409821996 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | DR. PINK P WIMBISH III (OWNER) |
| Authorized Official Telephone | 5409820253 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103000859 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1689626798 | 05 |
| Street Address |
1934 BRAEBURN DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689626798 | Pink Wimbish | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2006-05-17 |
| 1720643018 | Salem Foot & Ankle Specialists Inc | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2019-05-02 |
| 1780978296 | Mahmoud Awni Salem | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2011-06-01 |
| 1306891460 | Conrad Allison Claytor | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497918585 | Robert Tyson Scott | Podiatrist | 800 Liberty St Se, Salem, OR 97302 | 2008-07-08 |
| 1952589996 | Brooke Robert Beckmann | Podiatrist | 3760 Market St Ne # 105, Salem, OR 97301-1826 | 2008-02-01 |
| 1407933732 | Podiatric Healthcare, P.C. | Podiatrist | 9 Warren Ct, Salem, MA 01970-3163 | 2006-11-01 |
| 1932213899 | Gregory M Van Ess | Podiatrist | 9 Warren Court, Salem, MA 01970-3168 | 2006-08-18 |
| 1386641231 | Richard Peffley II | Podiatrist | 350 Miller St Se, Salem, OR 97302-4248 | 2005-07-07 |
| 1720643018 | Salem Foot & Ankle Specialists Inc | Podiatrist | 1934 Braeburn Dr, Salem, VA 24153-7302 | 2019-05-02 |
| 1548790637 | Karen Elaine Uchmanowicz | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2017-06-13 |
| 1114323516 | Ohio Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2380 Southeast Blvd, Salem, OH 44460-3476 | 2014-11-12 |
| 1477969806 | Jeremy Brouillette | Podiatrist | 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153-6404 | 2014-07-07 |
| 1962745836 | Lee J. Poston | Podiatrist | 3474 Liberty Rd S, Salem, OR 97302-4607 | 2013-03-29 |
| Find all providers in SALEM | ||||
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| 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.