Organization Active NPI

Fourth River Foot and Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1548856917
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOURTH RIVER FOOT AND ANKLE, P.C.
Practice address
1748 Jancey St Ste a
Pittsburgh, PA 15206-1100
Phone
(412) 990-3667
NPI assigned
Dec 18, 2020
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Dr. Vincent Vess, DPMNPI 1679831317
Title
President
Phone
(585) 355-3213

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1748 Jancey St Ste a
Pittsburgh, PA 15206-1100

Mailing address

4922 Somerville St
Pittsburgh, PA 15201-1020

Other practice location 1

1432 Lincoln Way Ste 102
White Oak, PA 15131-1600
Phone (724) 209-8580

Other practice location 2

5655 Bryant St Ste 115A
Pittsburgh, PA 15206-1511
Phone (412) 990-3668

Other practice location 3

1907 Lebanon Church Rd Ste 200
West Mifflin, PA 15122-2452
Phone (724) 209-8580

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL practicefusion.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817002041 PA Part B Supplier - Clinic/Group Practice 3678978475 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA; White Oak, PA; McKeesport, PA

National Provider Directory

National Provider Directory

Locations

1748 Jancey St
Ste A
Pittsburgh, PA 15206
Phone (412) 990-3667

5655 Bryant St
Ste 115A
Pittsburgh, PA 15206
Phone (412) 990-3667

1907 Lebanon Church Rd
Ste 201
West Mifflin, PA 15122
Phone (412) 565-7013

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1548856917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 SOMERVILLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011020",
            "fax_number": "724-273-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 JANCEY ST STE A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061100",
            "telephone_number": "412-990-3667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 Lincoln Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "PA",
            "postal_code": "151311600",
            "country_code": "US",
            "telephone_number": "724-209-8580",
            "fax_number": "724-273-8236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5655 Bryant St Ste 115A",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152061511",
            "country_code": "US",
            "telephone_number": "412-990-3668",
            "fax_number": "724-273-8236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1907 Lebanon Church Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151222452",
            "country_code": "US",
            "telephone_number": "724-209-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOURTH RIVER FOOT AND ANKLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "VESS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-355-3213",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5655 Bryant St Ste 115A",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152061511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.