Organization Active NPI

Foot and Ankle Associates of Southwest Virginia, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Salem, VA
National Provider Identifier
1841220530
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103001015 Issued in VA
Legal business name
FOOT AND ANKLE ASSOCIATES OF SOUTHWEST VIRGINIA, P.C.
Practice address
1802 Braeburn Dr
Ste M120
Salem, VA 24153-7357
Phone
(540) 344-3668
Fax
(540) 769-6381
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Charles M Zelen, DPM
Title
Ceo President
Phone
(540) 344-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103001015 VA Primary

Addresses

Primary practice location

1802 Braeburn Dr
Ste M120
Salem, VA 24153-7357

Mailing address

222 Walnut Ave SW
Roanoke, VA 24016-4723
Phone (540) 344-3668

National Provider Directory

National Provider Directory

Locations

10665 Stanhaven Pl
Ste 208
White Plains, MD 20695

222 Walnut Ave SW
Roanoke, VA 24016
Phone (540) 344-3668

1802 Braeburn Dr
#A2130
Salem, VA 24153

1802 Braeburn Dr
Ste M120
Salem, VA 24153
Phone (540) 344-3668

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1841220530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WALNUT AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164723",
            "telephone_number": "540-344-3668",
            "fax_number": "540-769-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "address_2": "STE M120",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-344-3668",
            "fax_number": "540-769-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE ASSOCIATES OF SOUTHWEST VIRGINIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ZELEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "540-344-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103001015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.