Beaver Valley Foot Clinic, PC
Organization Active NPI Clinic/Center · Beaver, PA
NPI 1790941508 · NPPES record last updated Aug 10, 2021
Key facts
- NPI
- 1790941508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BEAVER VALLEY FOOT CLINIC, PC
- Practice address
- 500 Market St
Suite 101
Beaver, PA 15009-2998 - Phone
- (878) 313-3338
- Fax
- (878) 313-3339
- NPI assigned
- Jul 31, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Christina Teimouri, DPM
- Title
- Owner
- Phone
- (878) 313-3338
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 5
-
Ahmed M Fadl, MD
-
Timothy N Kavic, M.D.
-
Mauricio Giraldo, MD
-
Christina Teimouri, DPM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050308000557 | PA | Part B Supplier - Clinic/Group Practice | 4880648351 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ambridge, PA; Beaver, PA; Bridgeville, PA; Cranberry TWP, PA; Moon Township, PA; Zelienople, PA |
National Provider Directory
- Tax ID family
- Advanced Vein Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
500 Market St
Suite 101
Beaver, PA 15009-2998
Mailing address
500 Market St
Suite 101
Beaver, PA 15009-2998
Phone (878) 313-3338
Other names
- Advanced Vein Center
Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.