Clinch Valley Family Podiatry, PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103300952 Issued in VA

Legal business name

CLINCH VALLEY FAMILY PODIATRY, PLLC

Practice address

6719 Governor G.C. Peery Hwy
Suite 3800
Richlands, VA 24641

Phone

(276) 596-9346

Fax

(276) 596-9348

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Eugene Scott, D.P.M.NPI 1639116643

Title

Physician

Phone

(276) 964-2411

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Eugene Scott, DPM

  • Foot Surgery Podiatrist
  • Richlands, VA
  • NPI 1639116643
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1962532218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR G.C. PEERY HWY",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-596-9346",
            "fax_number": "276-596-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOVERNOR G.C. PEERY HWY",
            "address_2": "SUITE 3800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "24641",
            "telephone_number": "276-596-9346",
            "fax_number": "276-596-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCH VALLEY FAMILY PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-06-03",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-964-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962532218",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006139",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Carino Claustro, MD
• Ludgerio Zabala Claustro, MD
• Clinch Pathology Associates PC
• Clinch Professional Physician Services LLC
• Clinch Valley Endocrinology LLC
• Clinch Valley Medical Center Inc
• Clinch Valley Medical Center Inc
• Clinch Valley Medical Center Inc.
• Clinch Valley Medical Center Inc.
• Clinch Valley Medical Center, Inc.

• Foot Surgery Podiatrist in Richlands, VA
• Providers in Richlands, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.

Verify at the official NPI Registry.