McKenzie Institute for Foot & Ankle Surgery

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY

Practice address

3907 Bridge Rd Ste 101
Suffolk, VA 23435-1133

Phone

(757) 977-1026

Fax

(757) 977-1027

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Marie McKenzie, MDNPI 1912959701

Title

Physician

Phone

(757) 977-1026

Specialties & licenses 1

Addresses

Other names 1

• McKenzie Foot & Ankle Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Practitioners 2

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

• Heather Marie McKenzie, DPM

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
  • NPI 1912959701
  Medicare reassignment Care Compare group NPD Authorized official
• Jason Noah Stern, D.P.M.

  • Podiatrist
  • Suffolk, VA
  • NPI 1215922562

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1164054169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 BRIDGE RD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351133",
            "telephone_number": "757-977-1026",
            "fax_number": "757-977-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 BRIDGE RD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351133",
            "telephone_number": "757-977-1026",
            "fax_number": "757-977-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-977-1026",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Jane McGath, RN, CPNP
• Erin McGoldrick
• George R McKay, D.O.
• McKenney Medical Group, PLLC
• McKenzie Hastings Institute for Foot & Ankle Surgery, LLC
• Chad M McKenzie, D.O.
• Heather Marie McKenzie, DPM
• Angela Faye McKinley, MA, LPC
• Gwenevere McLeod
• Zennie McNealey

• Foot & Ankle Surgery Podiatrist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.