CHURCHLAND PODIATRY CENTER, PC (NPI# 1689866691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689866691 |
| Entity Type | Organization |
| Organization Name | CHURCHLAND PODIATRY CENTER, PC |
| Practice Address |
108 American Legion Rd Chesapeake VA 23321-5657 |
| Practice Telephone | 7574849535 |
| Practice Fax Number | 7574849540 |
| Mailing Telephone | 7574849535 |
| Mailing Fax Number | 7574849540 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | ALAN ROBERT COOK (PRESIDENT) |
| Authorized Official Telephone | 7574849535 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103000419 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 066587 | 01 |
| Street Address |
108 AMERICAN LEGION RD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678613 | Alan Robert Cook | Podiatrist | 108 American Legion Rd, Chesapeake, VA 23321-5657 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700071529 | Rex Galam Diaz | Podiatrist | 612 Kingsborough Sq Suite 202, Chesapeake, VA 23320 | 2007-09-14 |
| 1326016510 | Harry A Fee | Podiatrist | 1098 Cascade Blvd, Chesapeake, VA 23324-3530 | 2006-03-14 |
| 1487622445 | Philbert Kuo | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2006-03-08 |
| 1881678613 | Alan Robert Cook | Podiatrist | 108 American Legion Rd, Chesapeake, VA 23321-5657 | 2005-12-05 |
| 1487653440 | George H Evancho | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2005-07-20 |
| 1124308507 | Diaz Foot & Ankle Center Pllc | Podiatrist | 612 Kingsborough Sq, Suite 202, Chesapeake, VA 23320-5041 | 2011-08-17 |
| 1952611568 | Advanced Podiatry of Hampton Roads | Podiatrist | 612 Kingsborough Square, Suite 202, Chesapeake, VA 23320 | 2010-10-15 |
| 1558681197 | Munjed Salem | Podiatrist | 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 | 2010-06-06 |
| 1568605632 | Philbert H. Kuo, D.p.m. | Podiatrist | 3212 Churchland Blvd, Suite 10, Chesapeake, VA 23321-5262 | 2009-04-19 |
| 1962666073 | Dr.jamesl Singletonjr Dpm | Podiatrist | 1098 Cascade Blvd, 1098 Cascade Blvd., Chesapeake, VA 23324-3530 | 2008-07-17 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on CHURCHLAND PODIATRY CENTER, PC.
| 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.