Organization Active NPI

Achilles Foot & Ankle Surgery PC

  • Foot & Ankle Surgery Podiatrist
  • Wheeling, WV
National Provider Identifier
1619954906
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002569B Issued in OH
Legal business name
ACHILLES FOOT & ANKLE SURGERY PC
Practice address
2108 Lumber Ave Ste 2
Wheeling, WV 26003-5350
Phone
(304) 243-8799
Fax
(740) 633-4716
NPI assigned
Dec 28, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Bruce Gary Blank, DPMNPI 1790757490
Title
President
Phone
(740) 633-4188

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 36002569B OH Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 00239 WV

Addresses

Primary practice location

2108 Lumber Ave Ste 2
Wheeling, WV 26003-5350

Mailing address

2108 Lumber Ave Ste 2
Wheeling, WV 26003-5350
Phone (304) 243-8799

National Provider Directory

National Provider Directory

Locations

92 N 4th St
Ste 27
Martins Ferry, OH 43935
Phone (740) 633-4188

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": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1619954906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LUMBER AVE STE 2",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035350",
            "telephone_number": "304-243-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LUMBER AVE STE 2",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035350",
            "telephone_number": "304-243-8799",
            "fax_number": "740-633-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHILLES FOOT & ANKLE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-633-4188",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002569B",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.