Healthcare Provider Details

I. General information

NPI: 1376573089
Provider Name (Legal Business Name): WINCHESTER FOOT & ANKLE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 AUGUSTINE AVE
CHARLES TOWN WV
25414-4431
US

IV. Provider business mailing address

PO BOX 68
RANSON WV
25438-0068
US

V. Phone/Fax

Practice location:
  • Phone: 304-725-0084
  • Fax: 540-722-9519
Mailing address:
  • Phone: 304-725-0084
  • Fax: 540-722-9519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number000223
License Number StateWV

VIII. Authorized Official

Name: DR. JAMES EDWARD DODD
Title or Position: PARTNER
Credential: DPM
Phone: 540-662-4572