MICHAEL LLOYD PETRANEK (NPI# 1265449508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265449508 |
| Entity Type | Individual |
| Full Name | MICHAEL LLOYD PETRANEK |
| Credential | DPM |
| Practice Address |
9918 Main St Fairfax VA 22031-3901 |
| Practice Telephone | 7032739818 |
| Practice Fax Number | 8664536775 |
| Mailing Telephone | 7032739818 |
| Mailing Fax Number | 8664536775 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103300947 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
507 | NC | Podiatric Medicine & Surgery Service Providers |
| Street Address |
9918 MAIN ST |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516819 | Richard Scott Mendelsohn | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2005-08-29 |
| 1689771024 | Richard S Mendelsohn | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2006-09-20 |
| 1356366264 | Darlene Narayan Saheta | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2006-07-12 |
| 1609837418 | Gary John Scheib | Podiatrist | 9918 Main St, Fairfax, VA 22031 | 2006-03-31 |
| 1568421394 | Deena Lynn Charney | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710369293 | Samuel Tischler | Podiatrist | 3302 Lothian Rd, Fairfax, VA 22031-4842 | 2015-06-22 |
| 1598712150 | My Hoa Kaas Dpm PC | Podiatrist | 2826 Old Lee Highway #220, Fairfax, VA 22031-4323 | 2006-05-28 |
| 1174516819 | Richard Scott Mendelsohn | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2005-08-29 |
| 1174940449 | Jugal Dharia | Podiatrist | 10721 Main St Ste 3500, Fairfax, VA 22030-6909 | 2014-03-25 |
| 1255628350 | Corine Leigh Creech | Podiatrist | 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 | 2011-07-09 |
| 1649573205 | Jay Daniel Ryan | Podiatrist | 2826 Old Lee Hwy, Suite 220, Fairfax, VA 22031-4323 | 2010-12-20 |
| 1548575780 | Apna Podiatry | Podiatrist | 3650 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1710 | 2010-08-12 |
| 1073831780 | Fair Oaks Podiatry and Sports | Podiatrist | 3620 Joseph Siewick Dr, 303, Fairfax, VA 22033-1756 | 2010-05-06 |
| 1912140310 | Fair Oaks Podiatry and Sports | Podiatrist | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2009-04-14 |
| 1376795765 | Associated Foot & Ankle Centers of Northern Virginia PC | Podiatrist | 10730 Main St, Fairfax, VA 22030-3704 | 2008-10-16 |
| Find all providers in FAIRFAX | ||||
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| 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.