Provider Demographics
NPI:1477643435
Name:OGNELODH, FRANKLIN C (DPM)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:C
Last Name:OGNELODH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 ROBYS WAY
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-1428
Mailing Address - Country:US
Mailing Address - Phone:804-643-8863
Mailing Address - Fax:804-643-2272
Practice Address - Street 1:505 W LEIGH ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3200
Practice Address - Country:US
Practice Address - Phone:804-643-8863
Practice Address - Fax:804-643-2272
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000873213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA086217OtherBLU/ANTHEM
VA9300279Medicaid
VA086217OtherBLU/ANTHEM
VAT51363Medicare UPIN
VA3956890001Medicare NSC