Active NPI
Blue Ridge Footcare and Surgery PLC
- Podiatrist
- Staunton, VA
National Provider Identifier
1336330620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- BLUE RIDGE FOOTCARE AND SURGERY PLC
- Practice address
- 111 Fairway LN Ste 100
Staunton, VA 24401-3576 - Phone
- (540) 885-8891
- Fax
- (540) 885-0016
- NPI assigned
- Aug 5, 2007
- Last updated
- Feb 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theodore McKee, DPM
- Title
- Owner
- Phone
- (540) 885-8891
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Foot Surgery Podiatrist | 213ES0131X |
Addresses
Primary practice location
111 Fairway LN Ste 100
Staunton, VA 24401-3576
Mailing address
111 Fairway LN Ste 100
Staunton, VA 24401-3576
Phone (540) 885-8891
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336330620 | Other | VA | NPI GROUP |
| 1336330620 | Medicaid | VA | |
| DG6187 | Other | VA | MEDICARE RR GROUIP |
| 1588847982 | Other | VA | NPI GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
111 Fairway Ln
Staunton, VA 24401
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Podiatrist
- Staunton, VA
- NPI 1306888417
-
- Family Nurse Practitioner
- Harrisonburg, VA
- NPI 1770320350
-
- Podiatrist
- Waynesboro, VA
- NPI 1760426357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1336330620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FAIRWAY LN STE 100",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244013576",
"telephone_number": "540-885-8891",
"fax_number": "540-885-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FAIRWAY LN STE 100",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244013576",
"telephone_number": "540-885-8891",
"fax_number": "540-885-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE FOOTCARE AND SURGERY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "MCKEE",
"authorized_official_first_name": "THEODORE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-885-8891",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1336330620",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336330620",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUIP",
"identifier": "DG6187",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1588847982",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.