Tidewater Foot & Ankle Center, Pc
LBN: Tidewater Foot & Ankle Center, Pc
Tidewater Foot & Ankle Center, Pc is an health care organization with primary practice located at 760 Independence Blvd , Virginia Beach VA 23455-6206. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Tidewater Foot & Ankle Center, Pc can be contacted via phone (757) 497-7575, or through Grant, William P. via phone (757) 497-7575.
Contact Information
Primary practice address
760 Independence Blvd
Virginia Beach VA 23455-6206
Phone: (757) 497-7575
Fax:
Website:
Authorized official contact:
Name: Grant, William P. Doctor of Podiatric Medicine (DPM)
Phone: (757) 497-7575
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1497813158 |
|---|---|
| LBN Legal business name | Tidewater Foot & Ankle Center, Pc |
| DBA Doing business as | |
| Authorized official | Grant, William P. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | May 13th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497813158 | NPPES |
| Virginia | Other | 480000051 | MEDICARE ID |
| Virginia | MEDICAID | 9301658 | MEDICARE ID |
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