Provider Demographics
NPI:1396511093
Name:ACHILLES FOOT AND ANKLE HEALTH GROUP INC
Entity type:Organization
Organization Name:ACHILLES FOOT AND ANKLE HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:III
Authorized Official - Credentials:DPM
Authorized Official - Phone:804-273-1717
Mailing Address - Street 1:3974 SPRINGFIELD RD STE B
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-4119
Mailing Address - Country:US
Mailing Address - Phone:804-273-1717
Mailing Address - Fax:804-368-0242
Practice Address - Street 1:3974 SPRINGFIELD RD STE B
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-4119
Practice Address - Country:US
Practice Address - Phone:804-273-1717
Practice Address - Fax:804-368-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty