Active NPI
Wheeling Foot Clinic
Doing business as Wheeling Foot Clinic PLLC
- Primary Podiatric Medicine Podiatrist
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 00156
- Legal business name
- WHEELING FOOT CLINIC
- Doing business as
- Wheeling Foot Clinic PLLC
- Practice address
- 1061 Main St
Wheeling, WV 26003-2701 - Phone
- (304) 233-0500
- Fax
- (304) 233-0501
- NPI assigned
- Feb 27, 2012
- Last updated
- Feb 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Vanscyoc
- Title
- Office Manager
- Phone
- (304) 810-4648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 00156 | WV | Primary |
Addresses
Primary practice location
1061 Main St
Wheeling, WV 26003-2701
Mailing address
1061 Main St
Wheeling, WV 26003-2701
Phone (304) 843-5066
Other practice location 1
400 3rd St
Glen Dale, WV 26038-1416
Phone (304) 843-5066
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810022864 | Medicaid | WV | |
| 1194880047 | Medicaid | WV |
Other names 1
- Wheeling Foot Clinic PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Wheeling Foot Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Glen Dale, WV
- NPI 1952736357
Locations
1061 Main St
Wheeling, WV 26003
Phone (304) 233-0500
Practitioners & affiliated clinicians
Practitioners 1
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": "1330300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707264000000",
"number": "1033483763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 MAIN ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032701",
"telephone_number": "304-843-5066",
"fax_number": "304-233-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 MAIN ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032701",
"telephone_number": "304-233-0500",
"fax_number": "304-233-0501"
}
],
"practiceLocations": [
{
"address_1": "400 3rd St",
"address_purpose": "LOCATION",
"city": "Glen Dale",
"state": "WV",
"postal_code": "260381416",
"country_code": "US",
"telephone_number": "304-843-5066",
"fax_number": "304-843-5067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WHEELING FOOT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-27",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A",
"authorized_official_last_name": "VANSCYOC",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "304-810-4648"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "WV",
"license": "00156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810022864",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194880047",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wheeling Foot Clinic PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.