Provider Demographics
NPI:1104097567
Name:FAMILY FOOT CARE CENTERS, P.C.
Entity type:Organization
Organization Name:FAMILY FOOT CARE CENTERS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-547-3668
Mailing Address - Street 1:801 VOLVO PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2811
Mailing Address - Country:US
Mailing Address - Phone:757-547-3668
Mailing Address - Fax:757-547-4335
Practice Address - Street 1:801 VOLVO PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2811
Practice Address - Country:US
Practice Address - Phone:757-547-3668
Practice Address - Fax:757-547-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA380109OtherBLUE CROSS BLUE SHIELD
VA35353OtherOPTIMA
VA9302824Medicaid
328129OtherMDIPA/MAMSI ALLIANCE PPO
VA1235234741OtherUNITED HEALTHCARE
VA419527OtherFIRST HEALTH & LIFE INS
NC890802MMedicaid
VA=========OtherUNICARE LIFE & HEALTH INS
VA=========OtherAPWU
NC890802MMedicaid
VA9302824Medicaid
VA35353OtherOPTIMA