Active NPI
Foot and Ankle Center LLC
- Surgery Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FOOT AND ANKLE CENTER LLC
- Practice address
- 1465 Johnston Willis Dr
Richmond, VA 23235-4730 - Phone
- (804) 320-3668
- Fax
- (804) 320-2600
- NPI assigned
- Jun 9, 2006
- Last updated
- Sep 7, 2012
- 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
- Mitchell Waskin, MD
- Title
- MD
- Phone
- (804) 320-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
1465 Johnston Willis Dr
Richmond, VA 23235-4730
Mailing address
1465 Johnston Willis Dr
Richmond, VA 23235-4730
Phone (804) 320-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417998873 | Medicaid | VA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba dba Richmond Specialty Group
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
Member Of
Locations
1465 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 320-3668
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Foot Surgery Podiatrist
- Richmond, VA
- NPI 1528052115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346976000000",
"number": "1417998873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 JOHNSTON WILLIS DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-320-3668",
"fax_number": "804-320-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 JOHNSTON WILLIS DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-320-3668",
"fax_number": "804-320-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2012-09-07",
"status": "A",
"authorized_official_last_name": "WASKIN",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "804-320-3668",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417998873",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.