Active NPI
Foot and Ankle Clinic of the Virginias Inc
- Podiatrist
- Princeton, WV
National Provider Identifier
1740227909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
- Practice address
- 401 Rogers St
Princeton, WV 24740-3636 - Phone
- (800) 292-3008
- Fax
- (412) 291-1552
- NPI assigned
- May 31, 2006
- 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
- Timothy J Donatelli, DPM
- Title
- Owner
- Phone
- (800) 292-3008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
401 Rogers St
Princeton, WV 24740-3636
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Phone (800) 292-3008
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD3197 | Other | WV | RAILROAD MEDICARE |
| 3810007768 | Medicaid | WV | |
| 010201641 | Medicaid | VA | |
| 001706519 | Other | WV | MOUNTAIN STATE BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA, OH
Enrollment records 6
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2036 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 322-1800
18255 1St St
Keller, VA 23401
134 Beckley PLZ
Beckley, WV 25801
5504 Maccorkle Ave SE
#2
Charleston, WV 25304
3960 Teays Valley Rd
Ste 1
Hurricane, WV 25526
3860 Teays Valley Rd
Ste 1
Hurricane, WV 25526
Phone (304) 757-5880
401 6th Ave
Ste D303
Montgomery, WV 25136
401 Rogers St
Princeton, WV 24740
Interoperability endpoints
- jimchianese@footclinic.allscriptsdirect.net
- josephprotain@footclinic.allscriptsdirect.net
- timdonatelli@footclinic.allscriptsdirect.net
- danchianese@footclinic.allscriptsdirect.net
- robertschopf@footclinic.allscriptsdirect.net
- marshalgwynn@footclinic.allscriptsdirect.net
- douglasdockery@footclinic.allscriptsdirect.net
- jeremybrouillette@footclinic.allscriptsdirect.net
- jungminyoo@footclinic.allscriptsdirect.net
- williamweily@footclinic.allscriptsdirect.net
- markwilt@footclinic.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Princeton, WV
- NPI 1093166076
-
- Primary Podiatric Medicine Podiatrist
- Fayetteville, WV
- NPI 1437119856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1740227909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825159",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825159",
"telephone_number": "800-292-3008",
"fax_number": "866-420-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROGERS ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247403636",
"telephone_number": "800-292-3008",
"fax_number": "412-291-1552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "DONATELLI",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-292-3008",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD3197",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810007768",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010201641",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BC BS",
"identifier": "001706519",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.