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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- 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.
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Birmingham, AL
- NPI 1174562755
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 |
National Provider Directory
National Provider DirectoryLocations
616 Campus Dr
#300
Abingdon, VA 24210
Phone (276) 525-1917
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301011 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
391 Falls Dr NW
Abingdon, VA 24210-8093
Mailing address
2765 W State St
Bristol, TN 37620-1828
Phone (423) 764-2299
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 385776 | Other | VA | BLUE CROSS VA FOR TN PATIENTS |
| 404529 | Other | VA | BLUE CROSS FOR VA |
| 480034380 | Other | VA | RAILROAD MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2013.
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS VA FOR TN PATIENTS",
"identifier": "385776",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FOR VA",
"identifier": "404529",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480034380",
"state": "VA"
}
],
"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.