| 1foot 2foot Centre For Foot And Ankle Care, Pc | |
|
171 North Main Street, Suffolk, VA 23434 | |
| (757) 934-0768 | |
| (757) 925-1901 |
| Full Name | 1foot 2foot Centre For Foot And Ankle Care, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 171 North Main Street, Suffolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427105949 | NPI | - | NPPES |
| 010316057 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 0103300887 (Virginia) | Primary |
| Provider Name | Robert W Sullivan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669445300 PECOS PAC ID: 7416973110 Enrollment ID: I20051021000715 |
| Provider Name | Matthew C Dairman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144226853 PECOS PAC ID: 2860597382 Enrollment ID: I20070413000117 |
| Provider Name | Marc Anthony Barbella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154416352 PECOS PAC ID: 0941297071 Enrollment ID: I20160307001630 |
| Provider Name | Eric S Moffett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275875718 PECOS PAC ID: 8022398205 Enrollment ID: I20161205001398 |
| Provider Name | Gerard A Costella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437692530 PECOS PAC ID: 9739451550 Enrollment ID: I20170814002707 |
| Provider Name | Davin C Carroll |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124401948 PECOS PAC ID: 8628325511 Enrollment ID: I20180724001638 |
| Provider Name | Jason Nathaniel Birkel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578947602 PECOS PAC ID: 5092020354 Enrollment ID: I20180811000178 |
| Provider Name | Nunzio Misseri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750744355 PECOS PAC ID: 7416240221 Enrollment ID: I20200713000946 |
| Provider Name | Joshua Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386205839 PECOS PAC ID: 9638559024 Enrollment ID: I20220701000234 |
| Mailing Address | Practice Location Address |
|---|---|
| 1foot 2foot Centre For Foot And Ankle Care, Pc 171 N Main St, Suffolk, VA 23434-4507 Ph: (757) 934-0768 | 1foot 2foot Centre For Foot And Ankle Care, Pc 171 North Main Street, Suffolk, VA 23434 Ph: (757) 934-0768 |
Richard Raymond Bruno, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 355, Suffolk, VA 23434 Phone: 757-983-8520 Fax: 757-579-8646 | |
Dr. Devin Christopher Carroll, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5835 Harbour View Blvd Ste A, Suffolk, VA 23435 Phone: 757-384-6617 Fax: 757-686-3669 | |
Dr. Matthew C Dairman, DPM, MS, FACFAS Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 171 N Main St, Suffolk, VA 23434 Phone: 757-934-0768 Fax: 757-925-1901 | |
Adams Comprehensive Foot Care Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1035 Champions Way Suite 700, Harbour View Professional Center, Building 2, Suffolk, VA 23435 Phone: 757-686-3668 Fax: 757-686-3669 | |
Marc A Barbella, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 171 N Main St, Suffolk, VA 23434 Phone: 757-934-0768 Fax: 757-925-1901 | |
Mckenzie Foot & Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 3907 Bridge Rd Ste 101, Suffolk, VA 23435 Phone: 757-977-1026 Fax: 757-977-1027 | |
Dr. Jason Noah Stern, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3907 Bridge Rd Ste 101, Suffolk, VA 23435 Phone: 757-977-1026 Fax: 757-977-1027 |