New Martinsville Foot and Ankle

Primary specialty

PodiatristTaxonomy code 213E00000X

License

339 Issued in WV

Legal business name

NEW MARTINSVILLE FOOT AND ANKLE

Practice address

317 Whitten LN
New Martinsville, WV 26155-2145

Phone

(304) 455-1562

Fax

(304) 455-4955

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Phillip Kenneth Slampak

Title

Podiatrist

Phone

(304) 455-1562

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1306020060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WHITTEN LN",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552145",
            "telephone_number": "304-455-1562",
            "fax_number": "304-455-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WHITTEN LN",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552145",
            "telephone_number": "304-455-1562",
            "fax_number": "304-455-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MARTINSVILLE FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "SLAMPAK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "304-455-1562"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100087000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• New Martinsville Dental PLLC
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• Darlene Marie Newell, MSW, LGSW
• Tabitha Danielle Newlen
• Robert Lee Newman II
• Ken Nice, MSW, LGSW

• Podiatrist in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.