Organization Active NPI

Foot Country, LLC

  • Foot & Ankle Surgery Podiatrist
  • Lewisburg, WV
National Provider Identifier
1265021356
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT COUNTRY, LLC
Practice address
232 Lee St N Ste D
Lewisburg, WV 24901-0300
Phone
(301) 461-7405
NPI assigned
Jan 13, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Christopher E Majewski, DPMNPI 1013975226
Title
Managing Member
Phone
(301) 461-7405

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 & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

232 Lee St N Ste D
Lewisburg, WV 24901-0300

Mailing address

232 Lee St N Ste D
Lewisburg, WV 24901-0300
Phone (304) 651-7554

Other practice location 1

6784 Friars Hill Rd
Renick, WV 24966
Phone (304) 520-3086

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210805000820 WV DME Supplier - Physician - General PracticeDME Supplier - Orthotic Personnel 1456755941 Practice locations: Ronceverte, WV
O20211007002260 WV Part B Supplier - Clinic/Group Practice 1456755941 Receives reassigned benefits from 1 practitioner
Practice locations: Ronceverte, WV

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1265021356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 LEE ST N STE D",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249010300",
            "telephone_number": "304-651-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LEE ST N STE D",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249010300",
            "telephone_number": "301-461-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6784 Friars Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Renick",
            "state": "WV",
            "postal_code": "24966",
            "country_code": "US",
            "telephone_number": "304-520-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT COUNTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "MAJEWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-461-7405",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.