Premier Foot & Ankle Center, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0103300807 Issued in VA

Legal business name

PREMIER FOOT & ANKLE CENTER, PC

Practice address

7481 Right Flank Rd
Suite 110
Mechanicsville, VA 23116-3838

Phone

(804) 746-9797

Fax

(804) 746-9794

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Darlene Foote Wheeler

Title

Office Manager

Phone

(804) 746-9797

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Louis William Nordeen, DPM

  • Podiatrist
  • Mechanicsville, VA
  • NPI 1073564043
  Medicare reassignment

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1275729907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 RIGHT FLANK RD",
            "address_2": "SUITE 110",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163838",
            "telephone_number": "804-746-9797",
            "fax_number": "804-746-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 RIGHT FLANK RD",
            "address_2": "SUITE 110",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163838",
            "telephone_number": "804-746-9797",
            "fax_number": "804-746-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FOOT & ANKLE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "FOOTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-746-9797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0103300807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010113580",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5105750001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica M. Powers, M.D.
• Richard Poyner
• Anita Malasani Prasad, OD
• Precision Clinical Bodywork LLC
• Lynsey Marie Preisner
• Donny Preval, PHARMD
• Michele Truffi Primavera, PH.D.
• Primedoc of Richmond PC
• Christine M. Privitera, M.D.
• Caitlin Privott, DPT

• Durable Medical Equipment & Medical Supplies in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.