Provider Demographics
NPI:1609050723
Name:CHO FOOT AND ANKLE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:CHO FOOT AND ANKLE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-427-7447
Mailing Address - Street 1:1232 PERIMETER PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-5689
Mailing Address - Country:US
Mailing Address - Phone:757-427-7447
Mailing Address - Fax:757-301-7145
Practice Address - Street 1:1232 PERIMETER PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5689
Practice Address - Country:US
Practice Address - Phone:757-427-7447
Practice Address - Fax:757-301-7145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103300885213EP1101X
VA0103300886213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4844120001Medicare NSC
VAC08643Medicare PIN