Organization Active NPI

McKenzie Hastings Institute for Foot & Ankle Surgery, LLC

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
National Provider Identifier
1487692687
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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

Updated by the provider on Aug 24, 2009

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.