PAV PLLC (NPI# 1992964571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992964571 |
| Entity Type | Organization |
| Organization Name | PAV PLLC |
| Other Organization Name | PODIATRY ASSOCIATES OF VIRGINIA |
| Practice Address |
936 General Booth Boulevard Suite A Virginia Beach VA 23451-4857 |
| Mailing Address |
936 General Booth Boulevard Suit A Virginia Beach VA 23451-4857 |
| Practice Telephone | 7572281955 |
| Practice Fax Number | 7572283095 |
| Mailing Telephone | 7572281955 |
| Mailing Fax Number | 7572283095 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | JEFFREY FELD (MANAGER) |
| Authorized Official Telephone | 7572281955 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Podiatry Associates of Virginia | Doing Business As Name - Organization |
| Street Address |
936 GENERAL BOOTH BOULEVARD SUITE A |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| 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 |
|---|---|---|---|---|
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1912037698 | Podiatry Associates of Virginia PC | Podiatrist | 936a General Booth Blvd, Virginia Beach, VA 23451-4857 | 2007-03-06 |
| 1457447864 | Joseph Giro Smith | Podiatrist | 4620 Bunker Hill Lane, Virginia Beach, VA 23462 | 2006-10-04 |
| 1972569598 | Anthony J. Vuolo Jr. | Podiatrist | 1547 Amberley Forest Rd, Virginia Beach, VA 23453-4706 | 2006-04-22 |
| 1275526501 | Rudolph Clinton Anderson Jr. | Podiatrist | 5241 Princess Anne Rd, #102, Virginia Beach, VA 23462-6310 | 2005-08-23 |
| 1356340798 | Carrie T Cho | Podiatrist | 1232 Perimeter Parkway, Ste. 102, Virginia Beach, VA 23454-5924 | 2005-07-19 |
| 1184897415 | William Zachary Fenn | Podiatrist | 1788 Republic Rd, Suite 300, Virginia Beach, VA 23454-4552 | 2008-04-08 |
| 1285764761 | Jeffrey A Feld | Podiatrist | 936a General Booth Blvd, Podiatry Associates of Virginia, Virginia Beach, VA 23451-4857 | 2007-03-06 |
| 1326175043 | Hampton Roads Family Practice | Podiatrist | 665 Newtown Rd Ste 114, Virginia Beach, VA 23462-1683 | 2007-02-28 |
| 1235249194 | Carl M Hall | Podiatrist | 700 Independence Circle, Virginia Beach, VA 23455 | 2006-08-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on PAV PLLC.
| 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.