Organization Active NPI

Medcare Foot & Ankle Specialists PLLC

  • Foot & Ankle Surgery Podiatrist
  • Mechanicsville, VA
National Provider Identifier
1437906591
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MEDCARE FOOT & ANKLE SPECIALISTS PLLC
Practice address
9023 Jeans Grove LN
Mechanicsville, VA 23116-2678
Phone
(540) 850-5985
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mr. Calvin Sydnor
Title
Contractor
Phone
(757) 952-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

9023 Jeans Grove LN
Mechanicsville, VA 23116-2678

Mailing address

9023 Jeans Grove LN
Mechanicsville, VA 23116-2678
Phone (540) 850-5985

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619001028 VA Part B Supplier - Clinic/Group Practice 4981147923 Receives reassigned benefits from 2 practitioners
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1437906591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 JEANS GROVE LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162678",
            "telephone_number": "540-850-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 JEANS GROVE LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162678",
            "telephone_number": "540-850-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE FOOT & ANKLE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "SYDNOR",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CONTRACTOR",
        "authorized_official_telephone_number": "757-952-7451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.