Active NPI
Highlands Podiatry, P.L.C.
- Foot & Ankle Surgery Podiatrist
- Abingdon, VA
National Provider Identifier
1982929170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301011
- Legal business name
- HIGHLANDS PODIATRY, P.L.C.
- Practice address
- 391 Falls Dr NW
Abingdon, VA 24210-8093 - Phone
- (423) 764-2299
- Fax
- (423) 968-3340
- NPI assigned
- Mar 31, 2010
- Last updated
- Apr 16, 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
- John Christopher Allen, D.P.M.
- Title
- Chief Manager/Podiatrist
- Phone
- (423) 764-2299
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301011 | VA | Primary |
Addresses
Primary practice location
391 Falls Dr NW
Abingdon, VA 24210-8093
Mailing address
2765 W State St
Bristol, TN 37620-1828
Phone (423) 764-2299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100901000383 | VA | Part B Supplier - Clinic/Group Practice | 0143133884 |
Receives reassigned benefits from 2 practitioners Practice locations: Abingdon, VA |
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 DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Podiatrist
- Birmingham, AL
- NPI 1174562755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1982929170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2765 W STATE ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201828",
"telephone_number": "423-764-2299",
"fax_number": "423-968-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 FALLS DR NW",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242108093",
"telephone_number": "423-764-2299",
"fax_number": "423-968-3340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS PODIATRY, P.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIEF MANAGER/PODIATRIST",
"authorized_official_telephone_number": "423-764-2299",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.