Active NPI
McKenzie Hastings Institute for Foot & Ankle Surgery, LLC
- Foot & Ankle Surgery Podiatrist
- Suffolk, VA
National Provider Identifier
1487692687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- MCKENZIE HASTINGS INSTITUTE FOR FOOT & ANKLE SURGERY, LLC
- Practice address
- 1520 Breezeport Way
Suite 100
Suffolk, VA 23435-3726 - Phone
- (757) 638-1823
- Fax
- (757) 638-1824
- NPI assigned
- Jun 2, 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
- Ms. Heather McKenzie, DPM
- Title
- Owner
- Phone
- (757) 638-1823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1520 Breezeport Way
Suite 100
Suffolk, VA 23435-3726
Mailing address
1520 Breezeport Way
Suite 100
Suffolk, VA 23435-3726
Phone (757) 638-1823
National Provider Directory
National Provider DirectoryLocations
3907 Bridge Rd
Ste 100
Suffolk, VA 23435
Phone (757) 977-1026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251072000000",
"number": "1487692687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 BREEZEPORT WAY",
"address_2": "SUITE 100",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353726",
"telephone_number": "757-638-1823",
"fax_number": "757-638-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 BREEZEPORT WAY",
"address_2": "SUITE 100",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353726",
"telephone_number": "757-638-1823",
"fax_number": "757-638-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENZIE HASTINGS INSTITUTE FOR FOOT & ANKLE SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2009-08-24",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-638-1823",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
- Tamesha Dion McFarland, M.T.
- Laura Jane McGath, RN, CPNP
- Erin McGoldrick
- George R McKay, D.O.
- McKenney Medical Group, PLLC (Holland Medical Center)
- McKenzie Institute for Foot & Ankle Surgery (McKenzie Foot & Ankle)
- Chad M McKenzie, D.O.
- Heather Marie McKenzie, DPM
- Angela Faye McKinley, MA, LPC
- Gwenevere McLeod
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.