Organization Active NPI

West Virginia Foot Care Specialists, PLLC

Doing business as WV Foot Care Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Hurricane, WV
National Provider Identifier
1053408674
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC
Doing business as
WV Foot Care Specialists, PLLC
Practice address
3860 Teays Valley Rd
Suite 1
Hurricane, WV 25526-9772
Phone
(304) 757-5880
Fax
(304) 757-5881
NPI assigned
Oct 6, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Dr. John B White III III, DPM
Title
Member
Phone
(304) 757-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

3860 Teays Valley Rd
Suite 1
Hurricane, WV 25526-9772

Mailing address

3860 Teays Valley Rd
Suite 1
Hurricane, WV 25526-9772
Phone (304) 757-5880

Other identifiers 1

IdentifierTypeStateIssuer
0204238000MedicaidWV

Other names 1

  • WV Foot Care Specialists, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

314 Goff Mountain Rd
Ste 1
Cross Lanes, WV 25313
Phone (304) 776-7290

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1053408674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-5880",
            "fax_number": "304-757-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 TEAYS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269772",
            "telephone_number": "304-757-5880",
            "fax_number": "304-757-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA FOOT CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "WHITE III",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-757-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204238000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WV Foot Care Specialists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.