Organization Active NPI

Center for Foot and Ankle Care PC

  • Foot & Ankle Surgery Podiatrist
  • Weirton, WV
National Provider Identifier
1912079377
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00238 Issued in WV
Legal business name
CENTER FOR FOOT AND ANKLE CARE PC
Practice address
3747 Main St
Weirton, WV 26062-5309
Phone
(304) 797-0190
Fax
(304) 797-1187
NPI assigned
Nov 14, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Jeffrey B Wilps, DPM
Title
Owner
Phone
(304) 797-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00238 WV Primary

Addresses

Primary practice location

3747 Main St
Weirton, WV 26062-5309

Mailing address

3747 Main St
Weirton, WV 26062-5309
Phone (304) 797-0190

Other identifiers 1

IdentifierTypeStateIssuer
3810006023MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1912079377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625309",
            "telephone_number": "304-797-0190",
            "fax_number": "304-797-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 MAIN ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625309",
            "telephone_number": "304-797-0190",
            "fax_number": "304-797-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FOOT AND ANKLE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "WILPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-797-0190",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "00238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006023",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.