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
- Last updated
- Aug 6, 2023
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
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.
-
- Foot & Ankle Surgery Podiatrist
- Mechanicsville, VA
- NPI 1851351423
NPI 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.