Beaver Valley Foot Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

BEAVER VALLEY FOOT CLINIC PC

Practice address

500 Market St
Suite 101
Beaver, PA 15009-2998

Phone

(878) 313-3338

Fax

(878) 313-3339

NPI assigned

Jul 23, 2006

Last updated

Feb 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Teimouri, DPMNPI 1073679908

Title

Owner

Phone

(878) 313-3338

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Beaver Valley Foot Clinic, PC

  dba Advanced Vein Center

  • Clinic/Center
  • Beaver, PA
  • NPI 1790941508

  O20050308000557

  Same enrollment

Tax ID family

Advanced Vein Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beaver Valley Foot Clinic, PC

  dba Advanced Vein Center

  • Clinic/Center
  • Beaver, PA
  • NPI 1790941508
  NPD tax ID

Locations

Practitioners 5

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.

• Christina Teimouri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaver, PA
  • NPI 1073679908
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy N Kavic, M.D.

  • Surgery Physician
  • Beaver, PA
  • NPI 1548265648
  Medicare reassignment Care Compare group NPD
• Dylan Welborn McHaffie, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaver, PA
  • NPI 1194388629
  Medicare reassignment Care Compare group NPD
• Ahmed M Fadl, MD

  • Diagnostic Radiology Physician
  • Clairton, PA
  • NPI 1144510603
  Medicare reassignment Care Compare group NPD (past)
• Mauricio Giraldo, MD

  • Surgery Physician
  • Frisco, TX
  • NPI 1649277906

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1699797563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "SUITE 101",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST",
            "address_2": "SUITE 101",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20555 Route 19 Ste D",
            "address_purpose": "LOCATION",
            "city": "Cranberry Twp",
            "state": "PA",
            "postal_code": "160667525",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 Beaver Grade Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Coraopolis",
            "state": "PA",
            "postal_code": "151084728",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032521",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Cornell St",
            "address_purpose": "LOCATION",
            "city": "Moon Township",
            "state": "PA",
            "postal_code": "151082217",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Burgess Dr",
            "address_purpose": "LOCATION",
            "city": "Zelienople",
            "state": "PA",
            "postal_code": "160632525",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1399 Merchant St",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032276",
            "country_code": "US",
            "telephone_number": "878-313-3338",
            "fax_number": "878-313-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAVER VALLEY FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "TEIMOURI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "878-313-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004042L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaver County Rehabilitation Center
• Beaver Dental Associates, LLC
• Beaver Head and Neck Surgical Associates, LTD.
• Beaver Meadows
• Beaver Psychiatric Services, LLC
• Beaver Valley Foot Clinic, PC (Advanced Vein Center)
• Beaver Valley Iu 27
• Beaver Valley Pathology Associates, LTD
• Beaver Valley Pathology, Inc.
• Beaver Valley Urology

• Foot & Ankle Surgery Podiatrist in Beaver, PA
• Providers in Beaver, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.