Organization Active NPI

Highlands Podiatry, P.L.C.

  • Foot & Ankle Surgery Podiatrist
  • Abingdon, VA
National Provider Identifier
1982929170
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301011 Issued in VA
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.NPI 1831269463
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100901000383 VA Part B Supplier - Clinic/Group Practice 0143133884 Receives reassigned benefits from 2 practitioners
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Locations

616 Campus Dr
#300
Abingdon, VA 24210
Phone (276) 525-1917

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103301011 VA Primary

Addresses

NPPES NPI Registry

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

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
385776OtherVABLUE CROSS VA FOR TN PATIENTS
404529OtherVABLUE CROSS FOR VA
480034380OtherVARAILROAD 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.

Verify at the official NPI Registry.