Augusta Podiatric Medicine & Surgery Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000705 Issued in VA

Legal business name

AUGUSTA PODIATRIC MEDICINE & SURGERY INC.

Practice address

100 Mactanly PL
Suite a
Staunton, VA 24401-2383

Phone

(540) 886-6424

Fax

(540) 213-0491

NPI assigned

Feb 10, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Ccheltree Jr., D.P.M.

Title

Sole Owner

Phone

(540) 886-6424

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1144593948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100-A MACTANLY PLACE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-886-6424",
            "fax_number": "540-213-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MACTANLY PL",
            "address_2": "SUITE A",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012383",
            "telephone_number": "540-886-6424",
            "fax_number": "540-213-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA PODIATRIC MEDICINE & SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "CCHELTREE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-886-6424",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "VA",
            "license": "0103000705",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "029891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• At Home Care Staffing
• Deborah Anne Atno-Shelton, LCSW
• Augusta Eye Associates PLC
• Augusta Orthopedic Surgery, PLC
• Augusta Physical Therapy PC
• Augusta Resources for Resilience, Opportunity,& Wellness-Arrow Project (ARROW Project)
• Kristin Vanhousen Augustine, LCSW
• Lilian Agbonzebeta Azenabor, PMHNP
• Erika Babikow, DMD
• Lisa Marie Baker

• Podiatrist in Staunton, VA
• Providers in Staunton, VA by specialty
• Podiatrist in Virginia

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