Organization Active NPI

All American Podiatry and Wound Care, P.C.

  • Foot Surgery Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1346540515
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103001054 Issued in VA
Legal business name
ALL AMERICAN PODIATRY AND WOUND CARE, P.C.
Practice address
4620 Bunker Hill LN
Virginia Beach, VA 23462-2245
Phone
(757) 499-8098
Fax
(757) 440-3515
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Joseph Smith, DPMNPI 1457447864
Title
Owner
Phone
(757) 499-8098

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 0103001054 VA Primary

Addresses

Primary practice location

4620 Bunker Hill LN
Virginia Beach, VA 23462-2245

Mailing address

4620 Bunker Hill LN
Virginia Beach, VA 23462-2245
Phone (757) 499-8098

Other identifiers 1

IdentifierTypeStateIssuer
009304533MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000237 VA Part B Supplier - Clinic/Group Practice 1557543592 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, VA; Virginia Beach, VA; Suffolk, VA; Poquoson, VA; Norfolk, VA; Hampton, VA; Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

220 Rainbow Ln
Chesapeake, VA 23320
Phone (757) 543-9773

1005 Deep Creek Blvd
Chesapeake, VA 23323
Phone (757) 487-0487

531 Wythe Creek Rd
Poquoson, VA 23662
Phone (757) 868-0335

350 Lynn Shores Dr
Virginia Beach, VA 23452
Phone (757) 340-6611

Practitioners & affiliated clinicians

Practitioners 4

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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1346540515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 BUNKER HILL LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622245",
            "telephone_number": "757-499-8098",
            "fax_number": "757-440-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 BUNKER HILL LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622245",
            "telephone_number": "757-499-8098",
            "fax_number": "757-440-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN PODIATRY AND WOUND CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-499-8098",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103001054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009304533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.