NPIMap

Individual provider Active NPI

Heather Marie McKenzie, DPM

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
National Provider Identifier
1912959701
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1912959701 Issued in VA
Practice address
3907 Bridge Rd Ste 101
Suffolk, VA 23435-1133
Phone
(757) 977-1026
Fax
(757) 799-1027
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300937 VA
Foot & Ankle Surgery Podiatrist 213ES0103X 1912959701 VA Primary

Addresses

Primary practice location

3907 Bridge Rd Ste 101
Suffolk, VA 23435-1133

Mailing address

3907 Bridge Rd Ste 101
Suffolk, VA 23435-1133
Phone (757) 977-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000898 VA Practitioner - Podiatry 5890722151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Institute for Foot and Ankle SurgeryGroup PAC ID 0345671509, 2 clinicians

Practice addresses (Care Compare)

3907 Bridge Rd
Suite 101
Suffolk, VA 23435-1133
Phone (757) 977-1026

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions12
Removal of nail tissue1076
Removal or shaving of skin growth323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1912959701VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Institute for Foot & Ankle Surgery Foot & Ankle Surgery CurrentSince Feb 21, 2020 Accepting new patients

Locations

3907 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 977-1026

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1912959701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 BRIDGE RD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351133",
            "telephone_number": "757-977-1026",
            "fax_number": "757-977-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 BRIDGE RD STE 101",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351133",
            "telephone_number": "757-977-1026",
            "fax_number": "757-799-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300937",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "1912959701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.