Organization Active NPI

Lynnhaven Foot and Ankle Center, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1881746642
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300951 Issued in VA
Legal business name
LYNNHAVEN FOOT AND ANKLE CENTER, INC.
Practice address
1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone
(757) 963-6363
Fax
(757) 363-3453
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Anthony J. Vuolo Jr., DPMNPI 1972569598
Title
President
Phone
(757) 963-6363

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103300951 VA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0103300951 VA

Addresses

Primary practice location

1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706

Mailing address

1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone (757) 963-6363

Other identifiers 2

IdentifierTypeStateIssuer
1026024MedicaidVA
5936440001OtherVAMEDICARE DMEPOS

National Provider Directory

National Provider Directory

Locations

1547 Amberley Forest Rd
Virginia Beach, VA 23453
Phone (757) 963-6363

Practitioners & affiliated clinicians

Practitioners 1

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1881746642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-963-6363",
            "fax_number": "757-363-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-963-6363",
            "fax_number": "757-363-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNHAVEN FOOT AND ANKLE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "VUOLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-963-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300951",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0103300951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026024",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "5936440001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.