Active NPI
Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Podiatrist
- Salem, VA
National Provider Identifier
1639775398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
- Practice address
- 150 Spartan Dr
Salem, VA 24153-3208 - Phone
- (540) 344-3668
- NPI assigned
- Dec 8, 2020
- 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
- Michael Tritto
- Title
- Owner
- Phone
- (301) 933-7133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
150 Spartan Dr
Salem, VA 24153-3208
Mailing address
PO Box 844572
Boston, MA 02284-4572
Phone (540) 344-3668
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1639775398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844572",
"city": "BOSTON",
"state": "MA",
"postal_code": "022844572",
"telephone_number": "540-344-3668",
"fax_number": "540-774-4615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SPARTAN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241533208",
"telephone_number": "540-344-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-07",
"status": "A",
"authorized_official_last_name": "TRITTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-933-7133"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.