Raleigh St Podiatry Inc.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

00317 Issued in WV

Legal business name

RALEIGH ST PODIATRY INC.

Practice address

411 S Raleigh St
Martinsburg, WV 25401-2640

Phone

(304) 264-9525

Fax

(304) 264-9524

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Thomas Acree, DPM

Title

President

Phone

(304) 264-9525

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1083752364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012640",
            "telephone_number": "304-264-9525",
            "fax_number": "304-264-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012640",
            "telephone_number": "304-264-9525",
            "fax_number": "304-264-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH ST PODIATRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "ACREE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-264-9525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WV",
            "license": "00317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001710711",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuelle Quiambao, PTA
• Joseph Radtke, DO
• Chelsy Raines
• Christina Rainey
• Susila Rajakumar, M.D.
• Alyssa B Raley
• Sheila Paola Ramirez-Rodriguez, MD
• Daniel Ramirez
• Diane Ramsburg
• Joseph Randall

• Foot Surgery Podiatrist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Foot Surgery Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.