NPIMap

Individual provider Active NPI

Jungmin Yoo

  • Foot & Ankle Surgery Podiatrist
  • Midlothian, VA
National Provider Identifier
1558752485
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301251 Issued in VA
Practice address
6055 Harbour Park Dr
Midlothian, VA 23112-2160
Phone
(804) 500-0949
Fax
(804) 500-0946
NPI assigned
Feb 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301251 VA Primary

Addresses

Primary practice location

6055 Harbour Park Dr
Midlothian, VA 23112-2160

Mailing address

6055 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 500-0949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181031001597 VA Practitioner - Podiatry 8325316789 Reassigns benefits to 2 organizations
I20181218000767 WV Practitioner - Podiatry 8325316789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

6055 Harbour Park Dr
Midlothian, VA 23112-2160
Phone (804) 500-0949

6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions63
Removal of nail tissue328
Removal or shaving of skin growth38
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Oct 1, 2018 Accepting new patients
Magnolia Green Foot and Ankle Center LLC CurrentSince Jun 21, 2021 Accepting new patients
Foot and Ankle Clinic of the Virginias Inc Foot & Ankle Surgery CurrentSince Oct 1, 2018 Accepting new patients

Locations

3706 S Main St
Blacksburg, VA 24060
Phone (276) 322-1800

6055 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 639-7777

134 Beckley Crossing Shpg Ctr
Beckley, WV 25801
Phone (304) 252-3668

5504 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8637

401 Rogers St
Princeton, WV 24740

Interoperability endpoints

  • Direct secure messaging: jungminyoo@footclinic.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1558752485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-500-0949",
            "fax_number": "804-500-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122160",
            "telephone_number": "804-500-0949",
            "fax_number": "804-500-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JUNGMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.