SOUTHWEST PODIATRY, P.C. (NPI# 1689820938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689820938 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST PODIATRY, P.C. |
| Practice Address |
2851 Carrollton Pike Suite A3 Woodlawn VA 24381-3668 |
| Practice Telephone | 2762369663 |
| Practice Fax Number | 2762368909 |
| Mailing Telephone | 2762369663 |
| Mailing Fax Number | 2762368909 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MRS. SUSIE M AKER (OFFICE MANAGER) |
| Authorized Official Telephone | 2762282212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103000769 | VA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739021 | Southwest Podiatry, P.C. | Podiatrist | 5270 Alexander Rd, Dublin, VA 24084-3650 | 2008-08-18 |
| 1861648115 | Southwest Podiatry, P.C. | Podiatrist | 594 Radio Hill Rd, Marion, VA 24354-4224 | 2008-08-18 |
| Street Address |
2851 CARROLLTON PIKE SUITE A3 |
| City | WOODLAWN |
| State | VA |
| Zip Code | 24381-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053416040 | Charles Houston Teaters | Optometrist | 2851 Carrollton Pike, Suite A-1, Woodlawn, VA 24381-3668 | 2006-09-14 |
| 1487976072 | Lifetime Eye Care C. Houston Teaters, Od, PC | Optometrist | 2851 Carrollton Pike, Suite A, Woodlawn, VA 24381 | 2010-02-23 |
| 1962649012 | Family Preservation Services, Inc | Community/Behavioral Health | 2851 Carrollton Pike, Suite 4-a, Woodlawn, VA 24381-3668 | 2009-01-12 |
| 1467697797 | Family Preservation Services, Inc | Community/Behavioral Health | 2851 Carrollton Pike, Woodlawn, VA 24381-3668 | 2008-12-16 |
| 1760504575 | Charles W West | Technician/Technologist | 2851 Carrollton Pike, Woodlawn, VA 24381-3637 | 2007-04-04 |
| 1912031857 | Timothy D Bobbitt | Optometrist | 2851 Carrollton Pike, A2, Woodlawn, VA 24381-3637 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437500717 | Sarah E Prol | Nurse Practitioner | 5261 Carrollton Pike Ste E, Woodlawn, VA 24381 | 2016-06-28 |
| 1831375146 | Family Preservation Services, Inc | Community/Behavioral Health | Rt. 1 Box 6b, Woodlawn, VA 24381 | 2008-01-16 |
| 1316271620 | Mark William Fox | Nurse Practitioner | 5261 Carrollton Pike, Suite C, Woodlawn, VA 24381 | 2009-09-21 |
| 1558852426 | Angela Carol Worrell | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-05-25 |
| 1710459912 | Functional Freedom Rehab., Inc. | Occupational Therapist | 813 Joy Ranch Rd, Woodlawn, VA 24381-1305 | 2018-12-28 |
| 1508833286 | Deborah Willis | Internal Medicine | 5261 Carrollton Pike Ste B, Woodlawn, VA 24381-3030 | 2006-03-02 |
| 1972502938 | Kathy L Clarke | Family Medicine | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2005-07-20 |
| 1013347392 | Virginia Hull | Physician Assistant | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-11-22 |
| 1184063315 | Jamie Wood Smith | Nurse Practitioner | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-06-20 |
| 1952648123 | Lisa Dameron | Registered Nurse | 5261 Carrollton Pike, Suite B, Woodlawn, VA 24381-3030 | 2013-01-08 |
| Find all providers in zip 24381 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
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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.