Organization Active NPI

Fairmont Foot Center

  • Durable Medical Equipment & Medical Supplies
  • Fairmont, WV
National Provider Identifier
1093984403
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
248 Issued in WV
Legal business name
FAIRMONT FOOT CENTER
Practice address
314 Fairmont Ave
Fairmont, WV 26554-2713
Phone
(304) 367-1111
Fax
(304) 367-1128
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Dr. David Ferrero, D.P.M.
Title
Owner
Phone
(304) 367-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 248 WV Primary

Addresses

Primary practice location

314 Fairmont Ave
Fairmont, WV 26554-2713

Mailing address

314 Fairmont Ave
Fairmont, WV 26554-2713
Phone (304) 367-1111

Other identifiers 1

IdentifierTypeStateIssuer
0099603000MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Fairmont Foot Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

314 Fairmont Ave
Fairmont, WV 26554
Phone (304) 367-1111

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1093984403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542713",
            "telephone_number": "304-367-1111",
            "fax_number": "304-367-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRMONT AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542713",
            "telephone_number": "304-367-1111",
            "fax_number": "304-367-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT FOOT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "FERRERO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-367-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099603000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.