Active NPI
Wheeling Foot Clinic
- Primary Podiatric Medicine Podiatrist
- Glen Dale, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 10417
- Legal business name
- WHEELING FOOT CLINIC
- Practice address
- 903 Wheeling Ave
Glen Dale, WV 26038-1662 - Phone
- (304) 843-5066
- Fax
- (304) 843-5067
- NPI assigned
- Sep 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Romano, DPM
- Title
- Managing Employee
- Phone
- (304) 843-5066
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 10417 | WV | Primary |
Addresses
Primary practice location
903 Wheeling Ave
Glen Dale, WV 26038-1662
Mailing address
903 Wheeling Ave
Glen Dale, WV 26038-1662
Phone (304) 843-5066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130916000142 | WV | DME Supplier - Physician - Podiatry | 1153561451 | Practice locations: Glen Dale, WV |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Wheeling Foot Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Podiatric Medicine Podiatrist
- Wheeling, WV
- NPI 1033483763
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": "1378339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395273600000",
"number": "1952736357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381662",
"telephone_number": "304-843-5066",
"fax_number": "304-843-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381662",
"telephone_number": "304-843-5066",
"fax_number": "304-843-5067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEELING FOOT CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-05",
"last_updated": "2014-03-20",
"status": "A",
"authorized_official_last_name": "ROMANO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "304-843-5066",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "WV",
"license": "10417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Dale, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.