NPIMap

Organization Active NPI

Fasv PC

  • Foot & Ankle Surgery Podiatrist
  • Mechanicsville, VA
National Provider Identifier
1780852715
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000846 Issued in VA
Legal business name
FASV PC
Practice address
7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620
Phone
(804) 746-5488
Fax
(804) 730-1223
NPI assigned
Feb 12, 2008
Last updated
Aug 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Authorized official

Name
Dr. Laurence Rubin, DPMNPI 1851351423
Title
Owner
Phone
(804) 746-5488

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103000846 VA Primary

Addresses

Primary practice location

7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620

Mailing address

7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620
Phone (804) 746-5488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080821000040 VA Part B Supplier - Clinic/Group Practice 9931274214 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond, VA; Mechanicsville, VA
O20100930086092 VA DME Supplier - Physician - Podiatry 9931274214 Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

1500 N 28th St
Ste 110
Richmond, VA 23223

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691280000000",
    "number": "1780852715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD STE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113620",
            "telephone_number": "804-746-5488",
            "fax_number": "804-730-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD STE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113620",
            "telephone_number": "804-746-5488",
            "fax_number": "804-730-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASV PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-746-5488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.