Active NPI
Footwise Podiatry of W.VA. Inc.
- Podiatrist
- Morgantown, WV
National Provider Identifier
1447313564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 193400000X
- Legal business name
- FOOTWISE PODIATRY OF W.VA. INC.
- Practice address
- 1191 Pineview Dr Ste H1
Morgantown, WV 26505-0480 - Phone
- (304) 599-9000
- Fax
- (304) 599-4091
- NPI assigned
- Dec 19, 2006
- 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
- Dr. Gordon A Miller, D.P.M.
- Title
- President Physician
- Phone
- (304) 599-9000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 193400000X | WV | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X |
Addresses
Primary practice location
1191 Pineview Dr Ste H1
Morgantown, WV 26505-0480
Mailing address
1191 Pineview Dr Ste H1
Morgantown, WV 26505-0480
Phone (304) 599-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709829 | Other | WV | BLUE CROSS |
| 0008547000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
2000 Hampton Ctr
Ste B
Morgantown, WV 26505
Phone (304) 599-9000
1191 Pineview Dr
Ste H1
Morgantown, WV 26505
Phone (304) 599-9000
2000 Hampton Ctr
Morgantown, WV 26505
Phone (716) 471-3185
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Morgantown, WV
- NPI 1164507935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1447313564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 PINEVIEW DR STE H1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050480",
"telephone_number": "304-599-9000",
"fax_number": "304-599-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 PINEVIEW DR STE H1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050480",
"telephone_number": "304-599-9000",
"fax_number": "304-599-4091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOTWISE PODIATRY OF W.VA. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
"authorized_official_telephone_number": "304-599-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "WV",
"license": "193400000X",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001709829",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008547000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.