Shenandoah Valley Podiatry in Roanoke - Podiatrist
Shenandoah Valley Podiatry - NPI 1003905878
Shenandoah Valley Podiatry is a Podiatrist in Roanoke, Virginia. Shenandoah Valley Podiatry practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Shenandoah Valley Podiatry is 1003905878. The last update date is 2014-08-06.
Shenandoah Valley Podiatry's current location address is 60 Summerfield Ct, Roanoke, Virginia. You can contact this provider via phone number 5409041458 and fax number 8554950994. The mailing address for Shenandoah Valley Podiatry is 60 Summerfield Ct, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shenandoah Valley Podiatry |
|---|---|
| Address | 60 Summerfield Ct, Roanoke, Virginia |
| Phone Number | 5409041458 |
| Fax Number | 8554950994 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Keller Anne Jennifer |
| Credentials | DPM |
| Telephone Number | 5409041458 |
NPI Number Detail
| NPI Number | 1003905878 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2014-08-06 |
Provider Mailing Address Detail
| Address | 60 Summerfield Ct |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240194579 |
| Phone Number | 5409041458 |
| Fax Number | 8554950994 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 103300725 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480032174 | VA | RAILROAD MEDICARE | |
| 9304291 | VA | -- |
Post Comment/ Review Below
What is the Shenandoah Valley Podiatry's unique identification number?
The Shenandoah Valley Podiatry has been assigned the NPI (National Provider Identifier) Number 1003905878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shenandoah Valley Podiatry?
The Shenandoah Valley Podiatry is situated at 60 Summerfield Ct, in the city of Roanoke, state of VA, with the zip code 240194579.
What is Shenandoah Valley Podiatry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shenandoah Valley Podiatry is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003905878 to Shenandoah Valley Podiatry?
The Centers for Medicare & Medicaid Services assigned the 1003905878 to Shenandoah Valley Podiatry on 2006-10-12.
As of what date were the details related to Shenandoah Valley Podiatry most recently updated or revised?
The information pertaining to Shenandoah Valley Podiatry, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-06.