NPI 1255356713 · live from the CMS NPI Registry
Coastal Podiatry, INC
Podiatrist in Virginia Beach, VA. National Provider Identifier 1255356713, active.
NPI record
| NPI | 1255356713 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 6477 College Park Sq, Suites 106, Virginia Beach, VA 23464 |
| Practice phone | 757-523-0414 |
| Enumerated | July 13, 2006 |
| Last updated | April 27, 2017 |
| Authorized official | Kathleen Mcgee, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 0103000759 (VA) |
| 213ES0131X | 0103000759 (VA) | |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | 0103000759 (VA) |
| Podiatrist, Radiology | 213ER0200X | 0103000759 (VA) |
| Podiatrist primary | 213E00000X | 0103000759 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.