FOOT & ANKLE MEDICAL CENTER, LLC (NPI# 1740588425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740588425 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE MEDICAL CENTER, LLC |
| Practice Address |
3640 High St Suite D1 Portsmouth VA 23707-3213 |
| Mailing Address |
Po Box 55350 Virginia Beach VA 23471-9350 |
| Practice Telephone | 7573931074 |
| Practice Fax Number | 7573187003 |
| Mailing Telephone | 7573931074 |
| Mailing Fax Number | 7573187003 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |
| Authorized Official Name | DR. PETER ROSS GRINKEWITZ (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 7573931074 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 0103000751 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRICARE | 232438625 | 01 |
| VA | 009303405 | 05 | |
| VA | BLUE CROSS BLUE SHIELD | 057781 | 01 |
| Street Address |
3640 HIGH ST SUITE D1 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147719 | Jeffrey Lynn Riblet | Surgery | 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 | 2005-07-11 |
| 1114440484 | Juanita Parker | Nurse Practitioner | 3640 High St, Portsmouth, VA 23707-3213 | 2017-07-19 |
| 1740726199 | Danielle Bibeault | Nurse Practitioner | 3640 High St, Suite 1a, Portsmouth, VA 23707 | 2017-01-10 |
| 1639620057 | Sarah Anderson | Nurse Practitioner | 3640 High St, Suite 2-f, Portsmouth, VA 23707-3213 | 2016-10-20 |
| 1245539998 | Stephanie Brashear | Family Medicine | 3640 High St, Portsmouth, VA 23707 | 2011-03-21 |
| 1922300490 | Sarah R Darrow | Registered Nurse | 3640 High St, Suite 3b, Portsmouth, VA 23707-3213 | 2010-12-03 |
| 1407021397 | Patricia M Behlmer | Psychiatry & Neurology | 3640 High St, Ste. 1f, Portsmouth, VA 23707-3213 | 2008-04-23 |
| 1427229749 | Maryview Hospital | Psychiatry & Neurology | 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 | 2008-03-14 |
| 1699853218 | Orthopaedic Surgery Centers, PC II | Durable Medical Equipment & Medical Supplies | 3640 High St, Suite 2a, Portsmouth, VA 23707-3213 | 2006-11-01 |
| 1689763476 | Reeta M Arora | Physical Medicine & Rehabilitation | 3640 High St, Ste 2a, Portsmouth, VA 23707-3213 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| 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 |
|---|---|---|---|---|
| 1326237546 | Scioto Foot Care Inc. | Podiatrist | 1605 11th St, Portsmouth, OH 45662-4525 | 2007-10-24 |
| 1174600217 | Seacoast Foot Surgery Assoc | Podiatrist | 330 Borthwick Avenue, Suite 112, Portsmouth, NH 03801 | 2006-11-01 |
| 1043328404 | Cory Allan Negri | Podiatrist | 5709 Churchland Blvd, B, Portsmouth, VA 23703-3314 | 2006-08-27 |
| 1861454332 | D'wayne Scott Tupper | Podiatrist | 3420 Cedar Ln, Portsmouth, VA 23703-3842 | 2006-04-03 |
| 1972587178 | Debra J Aleck | Podiatrist | 3511 Western Branch Blvd, Portsmouth, VA 23707-3133 | 2005-12-01 |
| 1316932361 | Jennifer Suzanne Sartori | Podiatrist | 14 Manchester Sq, Ste 250, Portsmouth, NH 03801-8001 | 2005-09-15 |
| 1003819731 | Larry Greiner | Podiatrist | 802 Washington St, Portsmouth, OH 45662-3943 | 2005-05-27 |
| 1699778571 | Paul Cwikla | Podiatrist | 1605 E 11th St, Portsmouth, OH 45662 | 2005-05-24 |
| 1669475786 | David Charles Greiner | Podiatrist | 820 Chillicothe St, Portsmouth, OH 45662-4028 | 2005-05-23 |
| 1538390604 | Sportsmedicine Atlantic Orthopaedics, P.a. | Podiatrist | 150 Us Highway 1 Byp, Portsmouth, NH 03801-5332 | 2009-08-06 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23707 |
Please comment or provide details below to improve the information on FOOT & ANKLE MEDICAL CENTER, LLC.
| 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.