Williamsburg Foot & Ankle Specialists P.C.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

0103000917 Issued in VA

Legal business name

WILLIAMSBURG FOOT & ANKLE SPECIALISTS P.C.

Practice address

453 McLaws Cir
Suite 1
Williamsburg, VA 23185-5645

Phone

(757) 220-3311

Fax

(757) 220-9070

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allyn Gardner, DPM

Title

President

Phone

(757) 220-3311

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1457482622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5635",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885210",
            "telephone_number": "757-220-3311",
            "fax_number": "757-220-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 MCLAWS CIR",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855645",
            "telephone_number": "757-220-3311",
            "fax_number": "757-220-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG FOOT & ANKLE SPECIALISTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-220-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "115887",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Emergency Physicians
• Williamsburg Endocrinology Inc
• Williamsburg Facility Operations, LLC (Consulate Health Care of Williamsburg)
• Williamsburg Famiily Physicians, Inc.
• Williamsburg Family Dentistry, PC (a division of Atlantic Dental Care)
• Williamsburg Gastroenterology, PC
• Williamsburg Indoor Sports Complex
• Williamsburg Inpatient Services LLC
• Williamsburg Landing Home Health, LLC (Williamsburg Landing Home Health)
• Williamsburg Landing Inc

• Primary Podiatric Medicine Podiatrist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Primary Podiatric Medicine Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.