NPIMap

Organization Active NPI

Foot and Ankle Clinic of the Virginias Inc

  • Podiatrist
  • Princeton, WV
National Provider Identifier
1740227909
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
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
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Timothy J Donatelli, DPMNPI 1982667903
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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, OH6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20050513000739 WV Part B Supplier - Clinic/Group Practice 7911948583 Receives reassigned benefits from 15 practitioners
Practice locations: Princeton, WV; Beckley, WV; Oceana, WV; Montgomery, WV; Fayetteville, WV; Hurricane, WV; Barboursville, WV; Charleston, WV
O20050720000358 VA Part B Supplier - Clinic/Group Practice 7911948583 Receives reassigned benefits from 12 practitioners
Practice locations: Pulaski, VA; Blacksburg, VA; Grundy, VA; Bluefield, VA
O20100930056278 WV DME Supplier - Physician - Podiatry 7911948583 Practice locations: Princeton, WV
O20130516000221 VA DME Supplier - Physician - Podiatry 7911948583 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blacksburg, VA
O20130718000194 VA DME Supplier - Physician - Podiatry 7911948583 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bluefield, VA
O20190410000479 OH Part B Supplier - Clinic/Group Practice 7911948583 Receives reassigned benefits from 2 practitioners
Practice locations: Youngstown, OH

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 Directory

Locations

3708 S Main St
Blacksburg, VA 24060
Phone (540) 552-3668

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

3860 Teays Valley Rd
Ste 1
Hurricane, WV 25526
Phone (304) 757-5880

3960 Teays Valley Rd
Ste 1
Hurricane, WV 25526

401 6th Ave
Ste D303
Montgomery, WV 25136

Interoperability endpoints

  • Direct secure messaging: danchianese@footclinic.allscriptsdirect.net
  • Direct secure messaging: douglasdockery@footclinic.allscriptsdirect.net
  • Direct secure messaging: jeremybrouillette@footclinic.allscriptsdirect.net
  • Direct secure messaging: jimchianese@footclinic.allscriptsdirect.net
  • Direct secure messaging: josephprotain@footclinic.allscriptsdirect.net
  • Direct secure messaging: jungminyoo@footclinic.allscriptsdirect.net
  • Direct secure messaging: markwilt@footclinic.allscriptsdirect.net
  • Direct secure messaging: marshalgwynn@footclinic.allscriptsdirect.net
  • Direct secure messaging: robertschopf@footclinic.allscriptsdirect.net
  • Direct secure messaging: timdonatelli@footclinic.allscriptsdirect.net
  • Direct secure messaging: williamweily@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, and the practitioner matching its NPPES authorized official.

View all 16

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": [],
    "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.

Verify at the official NPI Registry.