Organization Active NPI

Pav, PLLC

Doing business as Podiatry Associates of Virginia

  • Foot & Ankle Surgery Podiatrist
  • Virginia, VA
National Provider Identifier
1821263526
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PAV, PLLC
Doing business as
Podiatry Associates of Virginia
Practice address
936 A General Booth Blvd.
Virginia Beach
Virginia, VA 23451-4857
Phone
(757) 228-1980
Fax
(757) 228-3095
NPI assigned
Apr 24, 2008
Last updated
May 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Jeffrey Feld, DPMNPI 1285764761
Title
Manager
Phone
(757) 228-1955

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 NU Primary

Addresses

Primary practice location

936 A General Booth Blvd.
Virginia Beach
Virginia, VA 23451-4857

Mailing address

936 A General Booth Blvd.
Virginia Beach
Virginia, VA 23451-4857
Phone (757) 228-1980

Other names 1

  • Podiatry Associates of Virginia Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080724000759 VA Part B Supplier - Clinic/Group Practice 6406929330 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA; Virginia Beach, VA
O20100930096554 VA DME Supplier - Physician - Podiatry 6406929330 Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

902 Graydon Ave
#A
Norfolk, VA 23507
Phone (757) 692-4991

936 General Booth Blvd
Unit Orf
Virginia Beach, VA 23451

Practitioners & affiliated clinicians

Practitioners 1

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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1821263526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 A GENERAL BOOTH BLVD.",
            "address_2": "VIRGINIA BEACH",
            "city": "VIRGINIA",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-228-1980",
            "fax_number": "757-228-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 A GENERAL BOOTH BLVD.",
            "address_2": "VIRGINIA BEACH",
            "city": "VIRGINIA",
            "state": "VA",
            "postal_code": "234514857",
            "telephone_number": "757-228-1980",
            "fax_number": "757-228-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "FELD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-228-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Associates of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.