Foot & Ankle Medical Center, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000751 Issued in VA

Legal business name

FOOT & ANKLE MEDICAL CENTER, LLC

Practice address

3640 High St
Suite D1
Portsmouth, VA 23707-3213

Phone

(757) 393-1074

Fax

(757) 318-7003

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Peter Ross Grinkewitz, DPMNPI 1922191394

Title

President/Physician

Phone

(757) 393-1074

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Ross Grinkewitz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Portsmouth, VA
  • NPI 1922191394
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1740588425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55350",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234719350",
            "telephone_number": "757-393-1074",
            "fax_number": "757-318-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST",
            "address_2": "SUITE D1",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-393-1074",
            "fax_number": "757-318-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "GRINKEWITZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "757-393-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "232438625",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303405",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "057781",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Floyd Optical Co Inc
• Jerome Frank Foer, PHD
• Cynthia Louise Foggo, RPH
• Kenneth Lane Folsom, CRNA
• Cherlyn S. Fontanilla, RNC, NNP
• Chelsea Marie Forbes, MD
• Stacy Forbes, P.A.
• Amber Carlie Reid Ford, HS
• Jerome Ford
• Sherry-Ann Marie Streete Ford, LSATP, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.