Foot and Ankle Management of Virginia

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

FOOT AND ANKLE MANAGEMENT OF VIRGINIA

Practice address

1155 Professional Dr
Williamsburg, VA 23185-3329

Phone

(757) 234-2905

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By 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

Sara Bouraee, DPMNPI 1285823401

Title

Managing Member

Phone

(757) 234-2905

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Bouraee, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hampton, VA
  • NPI 1285823401
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1245989920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "757-234-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "757-234-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE MANAGEMENT OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "BOURAEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "757-234-2905",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOT AND ANKLE SURGERY",
            "identifier": "1326018615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOT AND ANKLE SURGERY",
            "identifier": "1295193811",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOT AND ANKLE SURGERY",
            "identifier": "1003926031",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOT AND ANKLE SURGERY",
            "identifier": "1285823401",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.HamptonRoadsFootAndAnkle.com",
            "affiliation": "N",
            "address_1": "1155 Professional Dr",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231853329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Earl Wayne Flora, PSYD
• Patricia A Flores, DDS
• Laura Marie Fluke, D.O.
• Jessica Fontaine, M.S., BCBA
• Robert E Foos Jr., MD
• Ronald Forbus
• Karen R Ford
• Mesha Ford
• Forever Halo Care Provider
• Diana Lynn Forlenza, LICSW

• Foot & Ankle Surgery Podiatrist in Williamsburg, VA
• Providers in Williamsburg, 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 Mar 21, 2022; 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.