FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC (NPI# 1104305754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104305754 |
| Entity Type | Organization |
| Organization Name | FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC |
| Practice Address |
10875 Main St Ste 212 Fairfax VA 22030-4732 |
| Practice Telephone | 2034946958 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | DR. KYLE SCHOLNICK (PODIATRIST) |
| Authorized Official Telephone | 2034946958 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Street Address |
10875 MAIN ST STE 212 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247834 | Kyle Samuel Scholnick | Podiatrist | 10875 Main St Ste 212, Fairfax, VA 22030 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417247834 | Kyle Samuel Scholnick | Podiatrist | 10875 Main St Ste 212, Fairfax, VA 22030 | 2011-04-19 |
| 1851451520 | Christopher J Walters | Podiatrist | 1225 Fair Lakes Parkway, 4th Floor, Fairfax, VA 22033-4512 | 2006-12-11 |
| 1629039680 | John S Ling | Podiatrist | 9522 B Lee Highway, Fairfax, VA 22031-2303 | 2006-03-30 |
| 1386641959 | Raymond James Olkin | Podiatrist | 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 | 2005-06-28 |
| 1891058921 | Lonny Nodelman | Podiatrist | 3020 Hamaker Ct, 201, Fairfax, VA 22031-2238 | 2012-06-22 |
| 1336290394 | Robert Grandinetti | Podiatrist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2007-01-16 |
| 1750452694 | Fairfax Foot and Ankle Center, P.C. | Podiatrist | 10721 Main St, Suite 103, Fairfax, VA 22030-6914 | 2006-11-13 |
| 1548371123 | Center for Foot and Ankle Care,p.c. | Podiatrist | 3020 Hamaker Ct, Suite 201, Fairfax, VA 22031-2238 | 2006-08-31 |
| 1215960620 | Barry Saffran | Podiatrist | 3020 Hamaker Court, Suite 201, Fairfax, VA 22031 | 2006-07-09 |
| 1295702108 | Steven R Vetter | Podiatrist | 10721 Main St, Suite 3500, Fairfax, VA 22030-6914 | 2006-03-01 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.