MEDICARE: ACHILLES FOOT ANKLE CENTER INC

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	213E00000X	Podiatrist	0103301127	VA

General Provider Information

NPI Number	:	1902082423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHILLES FOOT ANKLE CENTER INC

Provider Business Mailing Address
First Line	:	PO BOX 29036
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23242-0036
Country	:	US
Telephone Number	:	804-273-1717
Fax Number	:	804-273-1834

Provider Business Practice Location Address
First Line	:	7493 RIGHT FLANK RD STE 420
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3846
Country	:	US
Telephone Number	:	804-273-1717
Fax Number	:	804-273-1834

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES B BALDWIN
Credential	:	DPM
Telephone Number	:	804-273-1717

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	02/01/2025

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