Peninsula Foot & Ankle Specialists PLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000644 Issued in VA

Legal business name

PENINSULA FOOT & ANKLE SPECIALISTS PLC

Practice address

2202 Executive Dr
Suite a
Hampton, VA 23666-6604

Phone

(757) 827-7111

Fax

(757) 827-7164

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arnold Sherman Beresh, DPM

Title

Manager

Phone

(757) 827-7111

Specialties & licenses 1

Addresses

Other names 1

• Peninsula Foot and Ankle Specialists, PLC Former legal business name

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1700974243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666604",
            "telephone_number": "757-827-7111",
            "fax_number": "757-827-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666604",
            "telephone_number": "757-827-7111",
            "fax_number": "757-827-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA FOOT & ANKLE SPECIALISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "BERESH",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-827-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Foot and Ankle Specialists, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Peninsula Orthopaedic Group, PC
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• Foot & Ankle Surgery Podiatrist in Hampton, VA
• Providers in Hampton, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.