Individual provider Active NPI

Anthony J. Vuolo Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Virginia Beach, VA
National Provider Identifier
1972569598
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300951 Issued in VA
Practice address
1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone
(757) 963-6363
Fax
(757) 963-0262
NPI assigned
Apr 22, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002140L PA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103300951 VA Primary

Addresses

Primary practice location

1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706

Mailing address

1547 Amberley Forest Rd
Virginia Beach, VA 23453-4706
Phone (757) 963-6363

Other identifiers 2

IdentifierTypeStateIssuer
1026024MedicaidVA
C08789OtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002140LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Sullivan DPM PC Foot & Ankle Surgery PastSince Sep 8, 2003 Accepting new patients
Port Richmond Family Foot Care,PC Podiatrist Past Accepting new patients
Port Richmond Podiatry LLC. Podiatrist PastSince Sep 5, 2021 Accepting new patients
Lynnhaven Foot and Ankle Center, Inc. Foot & Ankle Surgery PastSince May 1, 2007 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1972569598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-963-6363",
            "fax_number": "757-963-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 AMBERLEY FOREST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234534706",
            "telephone_number": "757-963-6363",
            "fax_number": "757-963-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUOLO",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002140L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026024",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C08789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.