Organization Active NPI

Kanawha Valley Foot and Ankle Associates, PLLC

  • Foot & Ankle Surgery Podiatrist
  • St Albans, WV
National Provider Identifier
1083750335
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00373 Issued in WV
Legal business name
KANAWHA VALLEY FOOT AND ANKLE ASSOCIATES, PLLC
Practice address
209 Fourth Ave
St Albans, WV 25177-2821
Phone
(304) 727-9200
Fax
(304) 727-6999
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Michael Patrick Noto, DPMNPI 1013003318
Title
Managing Member
Phone
(304) 727-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 00373 WV Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 00367 WV

Addresses

Primary practice location

209 Fourth Ave
St Albans, WV 25177-2821

Mailing address

209 Fourth Ave
St Albans, WV 25177-2821
Phone (304) 727-9200

Other identifiers 2

IdentifierTypeStateIssuer
3810006007MedicaidWV
001706456OtherWVMSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040510000031 WV Part B Supplier - Clinic/Group Practice 4880683440 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Albans, WV
O20110324000050 WV DME Supplier - Physician - Podiatry 4880683440 Practice locations: St Albans, WV

National Provider Directory

National Provider Directory

Locations

105 6th Ave
Saint Albans, WV 25177
Phone (304) 727-9200

200 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 727-9200

209 4th Ave
Saint Albans, WV 25177
Phone (304) 727-9200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1083750335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FOURTH AVE",
            "city": "ST ALBANS",
            "state": "WV",
            "postal_code": "251772821",
            "telephone_number": "304-727-9200",
            "fax_number": "304-727-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FOURTH AVE",
            "city": "ST ALBANS",
            "state": "WV",
            "postal_code": "251772821",
            "telephone_number": "304-727-9200",
            "fax_number": "304-727-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY FOOT AND ANKLE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "NOTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-727-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00373",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006007",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "001706456",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.