Achilles Foot & Ankle Surgery PC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Wheeling, WV
NPI 1619954906 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1619954906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 36002569B (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
- Organization subpart
- No
Authorized official
- Name
- Bruce Gary Blank, DPM
- Title
- President
- Phone
- (740) 633-4188
Practitioners 2
-
Jason Todd Bakich, D.P.M.
National Provider Directory
Locations
92 N 4th St
Ste 27
Martins Ferry, OH 43935
Phone (740) 633-4188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 36002569B | OH | Yes |
| Foot & Ankle Surgery Podiatrist |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5125771 | Other | AETNA | |
| 01756671 | Medicaid | PA | |
| 2006260 | Medicaid | OH | |
| 0099535001 | Medicaid | WV |
Other providers in Wheeling, WV
- A7S Invt Inc.
- Jeffrey Michael Abbott
- Sara Evelyn Ackley
- Acuity Specialty Hospital - Ohio Valley, LP
- Acuity Specialty Hospital - Ohio Valley, LP
- Ad Ghaphery MD Professional Association
- Brenda Lynn Adamovich
All providers in Wheeling, WV · Foot & Ankle Surgery Podiatrist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.