Provider Demographics
NPI:1376573089
Name:WINCHESTER FOOT & ANKLE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:WINCHESTER FOOT & ANKLE ASSOCIATES PLLC
Other - Org Name:WINCHESTER FOOT & ANKLE ASSOCIATES PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DODD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:540-662-4572
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:RANSON
Mailing Address - State:WV
Mailing Address - Zip Code:25438-0068
Mailing Address - Country:US
Mailing Address - Phone:304-725-0084
Mailing Address - Fax:540-722-9519
Practice Address - Street 1:201 AUGUSTINE AVE
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-4431
Practice Address - Country:US
Practice Address - Phone:304-725-0084
Practice Address - Fax:540-722-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV000223213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVPE9250801Medicare PIN