Organization Active NPI

Podiatry Center PC

  • Foot & Ankle Surgery Podiatrist
  • Richmond, VA
National Provider Identifier
1316134083
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000938 Issued in VA
Legal business name
PODIATRY CENTER PC
Doing business as
THE PODIATRY CENTER PC
Practice address
7406 Brook Rd
Richmond, VA 23227-1817
Phone
(804) 262-7153
Fax
(804) 262-0104
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Glen R Wilensky, DPMNPI 1073519682
Title
Podiatrist
Phone
(804) 262-7153

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103000938 VA Primary

Addresses

Primary practice location

7406 Brook Rd
Richmond, VA 23227-1817

Mailing address

7406 Brook Rd
Richmond, VA 23227-1817
Phone (804) 262-7153

Other names 1

  • THE PODIATRY CENTER PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041207000661 VA Part B Supplier - Clinic/Group Practice 5395701726 Receives reassigned benefits from 2 practitioners
Practice locations: Richmond, VA; Mechanicsville, VA; Glen Allen, VA
O20100930008333 VA DME Supplier - Physician - Podiatry 5395701726 Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

5300 Hickory Park Dr
Ste 104
Glen Allen, VA 23059
Phone (804) 746-5488

5300 Hickory Park Dr
Glen Allen, VA 23059
Phone (804) 270-7754

7406 Brook Rd
Richmond, VA 23227
Phone (804) 262-7153

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1316134083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271817",
            "telephone_number": "804-262-7153",
            "fax_number": "804-262-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271817",
            "telephone_number": "804-262-7153",
            "fax_number": "804-262-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "WILENSKY",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "804-262-7153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PODIATRY CENTER PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.