MEDICARE: DR. PATRICK S. AGNEW DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0103000759	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265420756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK S. AGNEW DPM

Provider Business Mailing Address
First Line	:	6477 COLLEGE PARK SQ
Second Line	:	SUITE 106
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3611
Country	:	US
Telephone Number	:	757-523-0414
Fax Number	:	757-523-2047

Provider Business Practice Location Address
First Line	:	6477 COLLEGE PARK SQ
Second Line	:	SUITE 106
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3611
Country	:	US
Telephone Number	:	757-523-0414
Fax Number	:	757-523-2047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	10/02/2008

Similar Medicare Providers

1790946911 — DR. ROBERT JOHN KRAUSE MD, MPH
Practice Location Address:

6477 COLLEGE PARK SQ STE 306
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-608-2760
Practice Fax: 757-239-6031

1922002963 — MR. CHARLES EARL FAYTON SR. M.D.
Practice Location Address:

6477 COLLEGE PARK SQ , STE 118
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-420-6218
Practice Fax: 757-420-0487

1902803273 — MRS. ADAYNA UPCHURCH BURROWS M.D.
Practice Location Address:

6477 COLLEGE PARK SQ , STE 118
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-420-6218
Practice Fax: 757-420-0487

1841298759 — TIDEWATER PED. CONSULTANTS, PC
Practice Location Address:

6477 COLLEGE PARK SQ , STE 118
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-420-6218
Practice Fax: 757-420-0487

1952393043 — MS. DAWN MARIA MCCOY MD
Practice Location Address:

6477 COLLEGE PARK SQ , STE 118
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-420-6218
Practice Fax: 757-420-0487

1861475204 — MS. NANCY A ROE NP
Practice Location Address:

6477 COLLEGE PARK SQ STE 312
VIRGINIA BEACH, VA
23464-3611

Practice Phone: 757-452-6932
Practice Fax: 757-905-4316

Directions to “ DR. PATRICK S. AGNEW DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.