Active NPI
Fasv, PC
- Foot & Ankle Surgery Podiatrist
- Glen Allen, VA
National Provider Identifier
1609185073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- FASV, PC
- Practice address
- 5300 Hickory Park Dr
Suite 104
Glen Allen, VA 23059-2629 - Phone
- (804) 746-5488
- Fax
- (804) 730-1223
- NPI assigned
- Oct 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurence Rubin, DPM
- Title
- Owner
- Phone
- (804) 746-5488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
5300 Hickory Park Dr
Suite 104
Glen Allen, VA 23059-2629
Mailing address
7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620
Phone (804) 746-5488
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691280000000",
"number": "1609185073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 LEE PARK RD STE 105",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113620",
"telephone_number": "804-746-5488",
"fax_number": "804-730-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 HICKORY PARK DR",
"address_2": "SUITE 104",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230592629",
"telephone_number": "804-746-5488",
"fax_number": "804-730-1223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASV, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-01",
"last_updated": "2023-08-06",
"certification_date": "2023-08-06",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "LAURENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-746-5488",
"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": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.