Provider Demographics
NPI:1326414558
Name:SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:SYNERGYHEALTH FOOT & ANKLE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:THOMAS PARKINSON
Authorized Official - Last Name:VETTI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-837-4144
Mailing Address - Street 1:14349 JUSTICE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6841
Mailing Address - Country:US
Mailing Address - Phone:804-837-4144
Mailing Address - Fax:804-823-9335
Practice Address - Street 1:14349 JUSTICE RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6841
Practice Address - Country:US
Practice Address - Phone:804-837-4144
Practice Address - Fax:804-823-9335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301115213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty