Tappahannock Foot and Ankle Specialist Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

TAPPAHANNOCK FOOT AND ANKLE SPECIALIST INC

Doing business as

Tappahannock Foot and Ankle

Practice address

402 Airport Road
Tappahannock, VA 22560-5431

Phone

(804) 925-6027

Fax

(804) 925-6064

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Joon S. Hwang, DPM

Title

Owner/Provider

Phone

(804) 925-6027

Specialties & licenses 1

Addresses

Other names 1

• Tappahannock Foot and Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/74975

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joon Suk Hwang, DPM

  • Podiatrist
  • Charlottesville, VA
  • NPI 1083020267
  Medicare reassignment NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1083395792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 AIRPORT ROAD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605431",
            "telephone_number": "804-925-6027",
            "fax_number": "804-925-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AIRPORT ROAD",
            "city": "TAPPAHANNOCK",
            "state": "VA",
            "postal_code": "225605431",
            "telephone_number": "804-925-6027",
            "fax_number": "804-925-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPPAHANNOCK FOOT AND ANKLE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-925-6027",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tappahannock Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myron G. Spooner, MD
• Lori Jean Sprouse, FNP
• Kelly Stimpson
• Narasa L Sutapalli
• Tappahannock Dialysis Center, Inc. (Tappahannock Dialysis Center)
• Tappahannock Physicians, Inc.
• Tappahannock Physicians, Inc.
• Tappahannock Rescue Squad, Inc
• Tappahannock SNF Operations LLC (Essex Manor Health & Rehabilitation)
• Taylored Care LLC

• Foot & Ankle Surgery Podiatrist in Tappahannock, VA
• Providers in Tappahannock, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.