MCKENZIE FOOT & ANKLE
NPI 1164054169
Podiatrist - Foot & Ankle Surgery in Suffolk, VA

Active since February 07, 2020
3907 BRIDGE RD STE 101, SUFFOLK, VA 23435(757) 977-1026(757) 977-1027 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2022, Feb 7, 2020 (2 updates tracked since 2020).

  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About MCKENZIE FOOT & ANKLE

This page provides the complete NPI Profile along with additional information for Mckenzie Foot & Ankle, a provider established in Suffolk, Virginia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1164054169 assigned on February 2020. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Mckenzie Foot & Ankle. The authorized official of this NPI record is Mrs. Heather Marie Mckenzie Md (Physician)

NPI
1164054169 Verify this NPI
Provider Legal Name
MCKENZIE INSTITUTE FOR FOOT & ANKLE SURGERY
Other Organization Name
MCKENZIE FOOT & ANKLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3907 BRIDGE RD STE 101 SUFFOLK, VA 23435
Location Phone
(757) 977-1026
Location Fax
(757) 977-1027
Mailing Address
3907 BRIDGE RD STE 101 SUFFOLK, VA 23435
Mailing Phone
(757) 977-1026
Mailing Fax
(757) 977-1027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2020
Last Update Date
10-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. HEATHER MARIE MCKENZIE MD

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(757) 977-1026

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist
3907 BRIDGE RD STE 101
SUFFOLK, VA 23435
Podiatrist (Foot & Ankle Surgery)
3907 BRIDGE RD STE 101
SUFFOLK, VA 23435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164054169, enumerated as an "organization" on February 07, 2020.

The provider is located at 3907 BRIDGE RD STE 101 SUFFOLK, VA 23435 and the phone number is (757) 977-1026.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.