Commonwealth Foot and Ankle, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

COMMONWEALTH FOOT AND ANKLE, INC.

Practice address

3333 S Crater Rd
Petersburg, VA 23805-9276

Phone

(804) 732-6000

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sara M Bouraee, DPMNPI 1285823401

Title

President

Phone

(757) 234-2905

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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
  Authorized official Same address or phone
• Jeffrey Hall Pinsky, DPM

  • Podiatrist
  • Petersburg, VA
  • NPI 1386698124
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1295200681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 MCLAWS CIR STE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855621",
            "telephone_number": "757-220-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059276",
            "telephone_number": "804-732-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH FOOT AND ANKLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "BOURAEE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-234-2905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Alliance (HealthSource Chiropractic & Progressive Rehab)
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• Commonwealth Care Services LLC
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• Commonwealth OB-GYN, P.C.
• Commonwealth of VA Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of VA Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of Virginia Central State Hospital (Central State Hospital)
• Commonwealth of Virginia Central State Hospital (Central State Hopsital)

• Foot & Ankle Surgery Podiatrist in Petersburg, VA
• Providers in Petersburg, 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 Oct 11, 2018; 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.