| Fasv Pc | |
|
7016 Lee Park Rd Ste 105, Mechanicsville, VA 23111-3620 | |
| (804) 746-5488 | |
| (804) 730-1223 |
| Full Name | Fasv Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 7016 Lee Park Rd Ste 105, Mechanicsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780852715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000846 (Virginia) | Primary |
| Provider Name | Laurence G Rubin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851351423 PECOS PAC ID: 3779570411 Enrollment ID: I20040517001405 |
| Provider Name | Sonya C Faircloth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184693913 PECOS PAC ID: 0042207789 Enrollment ID: I20080821000137 |
| Provider Name | Ryan Vazales |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043624372 PECOS PAC ID: 7416220744 Enrollment ID: I20170907001484 |
| Provider Name | Israel Santander |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578097978 PECOS PAC ID: 6901222306 Enrollment ID: I20200817000955 |
| Provider Name | Jonathon Srour |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386178705 PECOS PAC ID: 9830514587 Enrollment ID: I20210107001643 |
| Provider Name | Kwanoo Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164084240 PECOS PAC ID: 7416380837 Enrollment ID: I20221025000258 |
| Provider Name | Sarah Tammaro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841932738 PECOS PAC ID: 3779943014 Enrollment ID: I20230718001592 |
| Mailing Address | Practice Location Address |
|---|---|
| Fasv Pc 7016 Lee Park Rd Ste 105, Mechanicsville, VA 23111-3620 Ph: (804) 746-5488 | Fasv Pc 7016 Lee Park Rd Ste 105, Mechanicsville, VA 23111-3620 Ph: (804) 746-5488 |
Dr. Louis William Nordeen, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 7481 Right Flank Road, Suite 110, Mechanicsville, VA 23116 Phone: 804-746-9797 Fax: 804-746-9794 | |
Dr. Carl James Belock, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7575 Cold Harbor Rd, Suite 2-a, Mechanicsville, VA 23111 Phone: 804-730-1300 Fax: 804-730-8843 | |
Jonathon Srour, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7016 Lee Park Rd, Mechanicsville, VA 23111 Phone: 804-746-5488 Fax: 804-730-1223 | |
Foot And Ankle Specialists, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7016 Lee Park Rd, Suite 105, Mechanicsville, VA 23111 Phone: 804-746-5488 Fax: 804-730-1223 | |
Sole Foot And Ankle Incorporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8245 Meadowbridge Rd, Mechanicsville, VA 23116 Phone: 301-943-1294 | |
Dr. Limor Glazer, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7016 Lee Park Rd, Suite 105, Mechanicsville, VA 23111 Phone: 804-746-5488 Fax: 804-730-1223 |