Debra J Aleck, DPM
Individual provider Active NPI Podiatrist · Portsmouth, VA
NPI 1972587178 · NPPES record last updated Aug 12, 2015
Key facts
- NPI
- 1972587178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 0103000870 (VA)
- Practice address
- 3511 Western Branch Blvd
Portsmouth, VA 23707-3133 - Phone
- (757) 397-3668
- Fax
- (757) 397-5889
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1119 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seva Foot and Ankle Center | Podiatrist | Current |
Accepting new patients |
Locations
3511 Western Branch Blvd
Portsmouth, VA 23707
Phone (757) 397-3668
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000870 | VA | Yes |
| Podiatrist | 213E00000X | 1119 | TX |
Addresses
Primary practice location
3511 Western Branch Blvd
Portsmouth, VA 23707-3133
Mailing address
3511 Western Branch Blvd
Portsmouth, VA 23707-3133
Phone (757) 397-3668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9332146 | Medicaid | VA | |
| 54 1031782 | Other | VA | FED TAX ID |
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.