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AMBULATORY FOOT CARE CENTER P C NPI 1801013115


NPI Information

NPI: 1801013115
Provider Name: AMBULATORY FOOT CARE CENTER P C
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
789 PINEY FOREST RD
SUITE B
DANVILLE, VA
ZIP 24540
Phone: (434) 799-9430
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AMBULATORY FOOT CARE CENTER P C is a podiatrist in Danville, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. AMBULATORY FOOT CARE CENTER P C NPI is 1801013115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

789 PINEY FOREST RD
SUITE B
DANVILLE, VA
ZIP 24540-877
Phone: (434) 799-9430
Fax: (434) 792-8438

The provider's authorized official is Michael T Canavan .
The authorized official title is Physician Owner and has the following contact phone number (434) 799-9430.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 3/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist0103 000583VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1890803NMEDICAIDNORTH CAROLINA
21891739991OTHERVIRGINIADR MICHAEL CANAVAN NPI #
3C02497OTHERMEDICARE PTAN
41891739991OTHERVIRGINIAMUTUAL OF OMAHA
5009301631MEDICAIDVIRGINIA
60795530001MEDICARE NSCVIRGINIA
7066476OTHERVIRGINIAANTHEM
846126OTHERVIRGINIAOPTIMA
9=========OTHERVIRGINIATAX ID
10CF9579OTHERVIRGINIARET RAILROAD MCRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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