Primary Foot Care, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

1475 Issued in VI

Legal business name

PRIMARY FOOT CARE, LLC

Practice address

3004 Estate Altona
St Thomas, VI 00802-5735

Phone

(888) 499-7747

NPI assigned

Nov 14, 2017

Last updated

Jun 16, 2018By 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. Gail Monica Rucker, DPMNPI 1487738308

Title

Owner

Phone

(888) 499-7747

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Gail Monica Rucker, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • St Thomas, VI
  • NPI 1487738308
  NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1952814717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 ESTATE THOMAS",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008023641",
            "telephone_number": "888-499-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ESTATE ALTONA",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008025735",
            "telephone_number": "888-499-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY FOOT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-499-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "VI",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VI EQUICARE",
            "identifier": "1952814717",
            "state": "VI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011589800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evangelina Paseual Poblete, M.D.
• Podiatric Medical Services for Ambulatoy Surgery, Inc
• Cynthia Portalatin, LCSW
• Premier Health Care Services, LLC
• Alicia Prentice
• Angelina Jovan Prince, PHD
• Private Care Solutions
• Professional Psychological Services
• QLR Quality Services, Inc
• Qualit Management Solutions LLC

• Podiatric Clinic/Center in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Podiatric Clinic/Center in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.