Personal Foot Care II, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103301109 Issued in VA

Legal business name

PERSONAL FOOT CARE II, LLC

Practice address

2020 Wakefield Ave
Petersburg, VA 23805-2112

Phone

(804) 732-1211

Fax

(804) 733-5946

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Samuel W Person, DPMNPI 1154324879

Title

Owner

Phone

(804) 732-1211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Winfred Person, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Petersburg, VA
  • NPI 1154324879
  Authorized official Same address or phone

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1548662935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 WAKEFIELD AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052112",
            "telephone_number": "804-732-1211",
            "fax_number": "804-733-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 WAKEFIELD AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052112",
            "telephone_number": "804-732-1211",
            "fax_number": "804-733-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL FOOT CARE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "PERSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-732-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Pepper
• Susan Woodford Perez, LCSW
• Taylor Perkinson
• Samuel Winfred Person, D.P.M.
• Personal Foot Care Group (Personal Foot Care)
• Personal Footcare LLC
• Petersburg Adult Healthcare
• Petersburg Case Management & Services
• Petersburg Clinic Company LLC
• Petersburg Complete Dental Care PLLC

• Podiatrist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.