Individual provider Active NPI

Marc Joel Fink, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chesapeake, VA
National Provider Identifier
1235234741
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
VA0103000946 Issued in VA
Practice address
801 Volvo Pkwy
Suite 130
Chesapeake, VA 23320-2811
Phone
(757) 547-3668
Fax
(757) 547-4335
NPI assigned
Sep 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X VA0103000946 VA Primary

Addresses

Primary practice location

801 Volvo Pkwy
Suite 130
Chesapeake, VA 23320-2811

Mailing address

801 Volvo Pkwy
Suite 130
Chesapeake, VA 23320-2811
Phone (757) 547-3668

Other identifiers 17

IdentifierTypeStateIssuer
541826772OtherVAVA HEALTH NETWORK
541826772OtherVAHUMANA INS ID
890706OtherVAFIRST HEALTH INS ID
009302824MedicaidVA
35353OtherVACORESOURCE INS ID
35353OtherVASENTARA HEALTH PPO ID
541826772OtherVACIGNA HEALTHCARE INS ID
009302824OtherVATRICARE INS ID
328129OtherVAALLIANCE INS ID
328129MD2OtherVAMAMSI INS ID
541826772OtherVASTATE OF NC TEACHERSID #
0000000380108OtherVAANTHEMBCBSID#
541826772OtherVAMAILHANDLERS INS ID
4548652/541826772OtherVAAETNA INS ID
52#284974OtherVAOPTIMA INS ID
541826772OtherVAUNITED HEALTHCARE IN ID
541826772OtherVASEAFARERS HEALTH PLAN ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080328000732 VA Practitioner - Podiatry 5395821607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 Volvo Pkwy
Suite 130
Chesapeake, VA 23320-2800
Phone (757) 547-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue277
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VA0103000946VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Care Centers, P.C. Foot & Ankle Surgery CurrentSince Aug 1, 1995 Accepting new patients
Family Foot Care Centers, P.C. Foot & Ankle Surgery CurrentSince Dec 28, 2022 Accepting new patients

Locations

801 Volvo Pkwy
Ste 130
Chesapeake, VA 23320
Phone (757) 547-3668

Interoperability endpoints

  • Direct secure messaging: familyfirstfootcare.marcfink@126395.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235234741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 130",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-547-3668",
            "fax_number": "757-547-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 130",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-547-3668",
            "fax_number": "757-547-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "MARC",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "VA0103000946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH NETWORK",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS ID",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH INS ID",
            "identifier": "890706",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302824",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORESOURCE INS ID",
            "identifier": "35353",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA HEALTH PPO ID",
            "identifier": "35353",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE INS ID",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE INS ID",
            "identifier": "009302824",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE INS ID",
            "identifier": "328129",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI INS ID",
            "identifier": "328129MD2",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NC TEACHERSID #",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBSID#",
            "identifier": "0000000380108",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS INS ID",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS ID",
            "identifier": "4548652/541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA INS ID",
            "identifier": "52#284974",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE IN ID",
            "identifier": "541826772",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEAFARERS HEALTH PLAN ID",
            "identifier": "541826772",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.