Provider Demographics
NPI:1437906591
Name:MEDCARE FOOT & ANKLE SPECIALISTS PLLC
Entity type:Organization
Organization Name:MEDCARE FOOT & ANKLE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SYDNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-952-7451
Mailing Address - Street 1:9023 JEANS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2678
Mailing Address - Country:US
Mailing Address - Phone:540-850-5985
Mailing Address - Fax:
Practice Address - Street 1:9023 JEANS GROVE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2678
Practice Address - Country:US
Practice Address - Phone:540-850-5985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty