| New Age Foot & Ankle Surgery, Llc | |
|
3936 Springfield Rd, Glen Allen, VA 23060-4119 | |
| (804) 934-9340 | |
| (804) 934-9381 |
| Full Name | New Age Foot & Ankle Surgery, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3936 Springfield Rd, Glen Allen, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245251917 | NPI | - | NPPES |
| 146326 | Other | VA | GROUP # FOR ANTHEM |
| 01033982 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4605650001 (Virginia) | Secondary |
| Provider Name | Asif Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669418786 PECOS PAC ID: 6608760384 Enrollment ID: I20040212000389 |
| Provider Name | Aerial Avery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194915538 PECOS PAC ID: 0547314403 Enrollment ID: I20090812000628 |
| Provider Name | Ehsan A. Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598149734 PECOS PAC ID: 5991059230 Enrollment ID: I20181126001996 |
| Provider Name | Victoria R Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366160731 PECOS PAC ID: 9234507278 Enrollment ID: I20221122001594 |
| Provider Name | Preston T Carr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598339913 PECOS PAC ID: 7517403488 Enrollment ID: I20240726003811 |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Foot & Ankle Surgery, Llc 3936 Springfield Rd, Glen Allen, VA 23060 Ph: (804) 934-9340 | New Age Foot & Ankle Surgery, Llc 3936 Springfield Rd, Glen Allen, VA 23060-4119 Ph: (804) 934-9340 |
Dr. Kristin Kaye Gingrich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5230 Hickory Park Dr, Suite D, Glen Allen, VA 23059 Phone: 804-934-0661 Fax: 804-934-0663 | |
Dr. John M Swangim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3974 Springfield Rd, Glen Allen, VA 23060 Phone: 804-273-1717 Fax: 804-368-0242 | |
Steven Schaeffer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3974 Springfield Rd, Glen Allen, VA 23060 Phone: 804-273-1717 Fax: 804-368-0242 | |
Katherine Marie Neiderer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10936 Westward Pl, Glen Allen, VA 23059 Phone: 520-548-5573 Fax: 520-629-4962 | |
Fasv, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5300 Hickory Park Dr, Suite 104, Glen Allen, VA 23059 Phone: 804-746-5488 Fax: 804-730-1223 | |
Asif Shah, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3936 Springfield Rd, Glen Allen, VA 23060 Phone: 804-934-9340 Fax: 804-934-9381 |