Organization Active NPI

Seneca Family Foot Care, PLLC

  • Foot Surgery Podiatrist
  • Ronceverte, WV
National Provider Identifier
1245500040
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00350 Issued in WV
Legal business name
SENECA FAMILY FOOT CARE, PLLC
Practice address
336 Seneca Trail
Ronceverte, WV 24970
Phone
(304) 645-0200
Fax
(304) 645-0240
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Gerald Marshall Erskine, DPMNPI 1346350030
Title
Owner
Phone
(304) 645-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 00350 WV Primary

Addresses

Primary practice location

336 Seneca Trail
Ronceverte, WV 24970

Mailing address

336 Seneca Trail
Ronceverte, WV 24970
Phone (304) 645-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130206000204 WV Part B Supplier - Clinic/Group Practice 2668626300 Receives reassigned benefits from 1 practitioner
Practice locations: Ronceverte, WV
O20161118000969 WV DME Supplier - Physician - Podiatry 2668626300 Practice locations: Ronceverte, WV

National Provider Directory

National Provider Directory

Locations

8878 Seneca Trl S
Ronceverte, WV 24970
Phone (304) 645-0200

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1245500040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SENECA TRAIL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-645-0200",
            "fax_number": "304-645-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SENECA TRAIL",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-645-0200",
            "fax_number": "304-645-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY FOOT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "ERSKINE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-645-0200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WV",
            "license": "00350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronceverte, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.