Pink Wimbish, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000859 Issued in VA

Practice address

1934 Braeburn Dr
Salem, VA 24153-7302

Phone

(540) 982-0253

Fax

(540) 982-1996

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Pandj Foot Care Centers PCGroup PAC ID 8224088737, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• P&J Foot Care Centers PC

  • Podiatric Clinic/Center
  • Lynchburg, VA
  • NPI 1043253230
  Medicare reassignment Care Compare group NPD
• Valley Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Salem, VA
  • NPI 1366651754
  Medicare reassignment NPD Authorized official
• Dr Conrad Claytor

  • Customized Equipment (DME)
  • Roanoke, VA
  • NPI 1598936379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1689626798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537302",
            "telephone_number": "540-982-0253",
            "fax_number": "540-982-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "PINK",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00276625",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480011609",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "181786",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010191980",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nyesha Williamson, BEHAVIOR TECHNICIAN
• Exa Willis, PHARMD
• Peter Lewis Wills, PHARM.D.
• Robert Michael Wilson, PAC
• Steven W Wilson, PA-C
• Mackenzie Brea Wimmer, RN
• Shelley Jeanne Wimmer, MSW, LCSW
• Leigh G Wingo, FNP-C
• Kelly Makay Wininger, PT
• Sean Michael Winkle, MD

• Podiatrist in Salem, VA
• Providers in Salem, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.