Provider Demographics
NPI:1437322104
Name:SETH J SCHWEITZER DPM PC
Entity Type:Organization
Organization Name:SETH J SCHWEITZER DPM PC
Other - Org Name:SOUTHERN VIRGINIA FOOT AND ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-520-5057
Mailing Address - Street 1:241 CHARLES DIMMOCK PKWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-2915
Mailing Address - Country:US
Mailing Address - Phone:804-520-5057
Mailing Address - Fax:804-520-8791
Practice Address - Street 1:241 CHARLES DIMMOCK PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2915
Practice Address - Country:US
Practice Address - Phone:804-520-5057
Practice Address - Fax:804-520-8791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000995213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADO1643OtherRAIL ROAD GROUP PTAN #
VADO1643OtherRAIL ROAD GROUP PTAN #
VA6134010001Medicare NSC