Provider Demographics
NPI:1194867481
Name:FOOT & ANKLE CENTER, PC
Entity Type:Organization
Organization Name:FOOT & ANKLE CENTER, PC
Other - Org Name:FOOT & ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GORENSHTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:540-662-6822
Mailing Address - Street 1:912 S PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-5152
Mailing Address - Country:US
Mailing Address - Phone:540-662-6822
Mailing Address - Fax:540-662-1903
Practice Address - Street 1:912 S PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5152
Practice Address - Country:US
Practice Address - Phone:540-662-6822
Practice Address - Fax:540-662-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810003563Medicaid
WV3810003563Medicaid
VA0795030002Medicare NSC