Geriatric Foot Care of W Vir

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00142 Issued in WV

Legal business name

GERIATRIC FOOT CARE OF W VIR

Practice address

2620 Fairmont Ave
Suite 203
Fairmont, WV 26554-3494

Phone

(502) 724-0900

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen R. Folickman, D.P.M.

Title

Director

Phone

(502) 724-0900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Bruce David Winans, D.P.M.

  • Podiatrist
  • Parkersburg, WV
  • NPI 1336161264
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1144342338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9016 TAYLORSVILLE RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991750",
            "telephone_number": "502-724-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 FAIRMONT AVE",
            "address_2": "SUITE 203",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543494",
            "telephone_number": "502-724-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC FOOT CARE OF W VIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FOLICKMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "502-724-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "00142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007469000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C31093",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Gay, DPT
• General Hearing Aid Centers, Inc (Beltone Audiology & Hearing Aids)
• Jewelie George
• Kyla Danielle Gerard
• Teresa Arlene Gerard
• Richard James Gerlach, MA, NCC
• Tabatha Gibson
• Marilyn Gifford, RN
• Rachael Paige Gifford
• Kimberly Gillespie

• Podiatrist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.