Abingdon Foot & Ankle Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

C103000942 Issued in VA

Legal business name

ABINGDON FOOT & ANKLE CLINIC PC

Practice address

1231 W Main St
Suite 100
Abingdon, VA 24210-4705

Phone

(276) 623-0333

Fax

(276) 623-0213

NPI assigned

Dec 14, 2005

Last updated

Sep 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Mazzei, DPMNPI 1063496008

Title

Vice-President

Phone

(276) 623-0333

Specialties & licenses 1

Addresses

Locations

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.

• Brian J Mazzei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Abingdon, VA
  • NPI 1063496008
  Authorized official Same address or phone

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1861477515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "276-623-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242104705",
            "telephone_number": "276-623-0333",
            "fax_number": "276-623-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "276-623-0333",
        "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": "C103000942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.