Organization Active NPI

Norfolk Foot and Ankle Group PC

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1033288790
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
VA0103000437 Issued in VA
Legal business name
NORFOLK FOOT AND ANKLE GROUP PC
Practice address
4224 Holland Rd
Suite 106
Virginia Beach, VA 23452-1900
Phone
(757) 498-0202
Fax
(757) 498-7936
NPI assigned
Nov 7, 2006
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Lynne Calloway
Title
Office Manager
Phone
(757) 228-3735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X VA0103000437 VA Primary

Addresses

Primary practice location

4224 Holland Rd
Suite 106
Virginia Beach, VA 23452-1900

Mailing address

4224 Holland Rd
Suite 106
Virginia Beach, VA 23452-1900
Phone (757) 498-0202

Other identifiers 1

IdentifierTypeStateIssuer
100566OtherVAOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225001239 VA Part B Supplier - Clinic/Group Practice 3577459544 Receives reassigned benefits from 6 practitioners
Practice locations: Norfolk, VA; Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

3509 Granby St
Norfolk, VA 23504
Phone (757) 437-2882

7633 Granby St
Norfolk, VA 23505
Phone (757) 451-1220

3720 Holland Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 340-0446

3972 Holland Rd
Ste 119
Virginia Beach, VA 23452
Phone (757) 498-0202

4224 Holland Rd
Ste 106
Virginia Beach, VA 23452
Phone (757) 320-5819

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1033288790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOLLAND RD",
            "address_2": "SUITE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521900",
            "telephone_number": "757-498-0202",
            "fax_number": "757-498-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOLLAND RD",
            "address_2": "SUITE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521900",
            "telephone_number": "757-498-0202",
            "fax_number": "757-498-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORFOLK FOOT AND ANKLE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-228-3735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "VA0103000437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "100566",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.