Provider Demographics
NPI:1235311184
Name:ASSOCIATED PODIATRY OF CENTRAL VIRGINIA
Entity Type:Organization
Organization Name:ASSOCIATED PODIATRY OF CENTRAL VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:434-385-0707
Mailing Address - Street 1:2129 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6803
Mailing Address - Country:US
Mailing Address - Phone:434-385-0707
Mailing Address - Fax:434-385-0169
Practice Address - Street 1:2129 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6803
Practice Address - Country:US
Practice Address - Phone:434-385-0707
Practice Address - Fax:434-385-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CL2466OtherRAILROAD MEDICARE
T21451Medicare UPIN
VA0954560001Medicare NSC
VA480000227Medicare PIN