MEDICARE: FAMILY FOOT AND ANKLE CARE, PC

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	0103300898	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD1110	OTHER	VA	RAILROAD MEDICARE GROUP
4	P00209069	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	173121	OTHER	VA	ANTHEM

General Provider Information

NPI Number	:	1790805695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT AND ANKLE CARE, PC

Provider Business Mailing Address
First Line	:	650 CEDAR CREEK GRADE STE 108
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-6453
Country	:	US
Telephone Number	:	540-667-3338
Fax Number	:	540-667-1589

Provider Business Practice Location Address
First Line	:	650 CEDAR CREEK GRADE STE 108
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-6453
Country	:	US
Telephone Number	:	540-667-3338
Fax Number	:	540-667-1589

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	ANDREW LLOYD VINCENT
Credential	:	DPM
Telephone Number	:	540-667-3338

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	09/08/2025

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Directions to “FAMILY FOOT AND ANKLE CARE, PC ” Practice Location

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