NPIMap

Organization Active NPI

Winchester Foot & Ankle Associates PLLC

  • Podiatrist
  • Charles Town, WV
National Provider Identifier
1376573089
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000223 Issued in WV
Legal business name
WINCHESTER FOOT & ANKLE ASSOCIATES PLLC
Practice address
201 Augustine Ave
Charles Town, WV 25414-4431
Phone
(304) 725-0084
Fax
(540) 722-9519
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Dr. James Edward Dodd, DPMNPI 1316931447
Title
Partner
Phone
(540) 662-4572

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000223 WV Primary

Addresses

Primary practice location

201 Augustine Ave
Charles Town, WV 25414-4431

Mailing address

PO Box 68
Ranson, WV 25438-0068
Phone (304) 725-0084

Other names 1

  • Winchester Foot & Ankle Associates PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000324 WV Part B Supplier - Clinic/Group Practice 6305813312 Receives reassigned benefits from 2 practitioners
Practice locations: Ranson, WV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

117 N Braddock St
Ste 150
Winchester, VA 22601
Phone (540) 622-4572

205 Ambrose Dr
Unit 68
Ranson, WV 25438

Practitioners & affiliated clinicians

Practitioners 6

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1376573089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254380068",
            "telephone_number": "304-725-0084",
            "fax_number": "540-722-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AUGUSTINE AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144431",
            "telephone_number": "304-725-0084",
            "fax_number": "540-722-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER FOOT & ANKLE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "540-662-4572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Foot & Ankle Associates PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.