Organization Active NPI

Ambulatory Foot & Ankle Center, P.C.

  • Podiatric Clinic/Center
  • Hampton, VA
National Provider Identifier
1497868889
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
AMBULATORY FOOT & ANKLE CENTER, P.C.
Practice address
1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone
(757) 825-5783
Fax
(757) 825-9658
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Earnest P.S. Mawusi, DPMNPI 1295792562
Title
Podiatrist
Phone
(757) 825-5783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1618 Hardy Cash Dr
Hampton, VA 23666-2400

Mailing address

1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone (757) 825-5783

Other identifiers 7

IdentifierTypeStateIssuer
1477510840OtherVANPI FOR DR. KIBWE
009300481MedicaidVA
1851474944OtherVANPI FOR DR MORGAN
1295792562OtherVANPI FOR DR. MAWUSI
1629019153OtherVANPI FOR DR. JOHNSON
010199948MedicaidVA
9300589MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041123000526 VA Part B Supplier - Clinic/Group Practice 1850356452 Receives reassigned benefits from 2 practitioners
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Locations

1618 Hardy Cash Dr
Hampton, VA 23666
Phone (757) 825-5783

Practitioners & affiliated clinicians

Practitioners 6

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1497868889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-825-5783",
            "fax_number": "757-825-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-825-5783",
            "fax_number": "757-825-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY FOOT & ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "MAWUSI",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_middle_name": "P.S.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "757-825-5783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. KIBWE",
            "identifier": "1477510840",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009300481",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR MORGAN",
            "identifier": "1851474944",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. MAWUSI",
            "identifier": "1295792562",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. JOHNSON",
            "identifier": "1629019153",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010199948",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9300589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.