NPIMap

Organization Active NPI

Berkeley County Foot and Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Hedgesville, WV
National Provider Identifier
1801061932
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
10391 Issued in WV
Legal business name
BERKELEY COUNTY FOOT AND ANKLE CENTER LLC
Practice address
3790 Hedgesville Road
Suite O
Hedgesville, WV 25427-6704
Phone
(304) 754-7130
Fax
(717) 762-1831
NPI assigned
Apr 29, 2008
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. John S Jacko, D.P.M.
Title
Owner
Phone
(304) 754-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 10391 WV Primary

Addresses

Primary practice location

3790 Hedgesville Road
Suite O
Hedgesville, WV 25427-6704

Mailing address

3790 Hedgesville Rd
Suite O
Hedgesville, WV 25427-6704
Phone (304) 754-7130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1801061932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE RD",
            "address_2": "SUITE O",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7130",
            "fax_number": "717-762-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE ROAD",
            "address_2": "SUITE O",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7130",
            "fax_number": "717-762-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COUNTY FOOT AND ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "JACKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-754-7130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hedgesville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.