DR. ROBERT GRANDINETTI (NPI# 1336290394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336290394 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GRANDINETTI |
| Credential | DPM |
| Practice Address |
12255 Fair Lakes Pkwy Fairfax VA 22033-3952 |
| Mailing Address |
2101 East Jefferson Street Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks Rockville MD 20852 |
| Practice Telephone | 7039345909 |
| Practice Fax Number | 7039345788 |
| Mailing Telephone | 3018166660 |
| Mailing Fax Number | 3018166308 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 010300936 | VA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
12255 FAIR LAKES PKWY |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776591 | Michael Scott Wenzel | Family Medicine | 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 | 2005-08-02 |
| 1962027755 | Saly Damigou Moukdagou | Registered Nurse | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2020-06-08 |
| 1114565298 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2019-12-19 |
| 1013367564 | Andaleeb Rahman | Family Medicine | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2016-06-15 |
| 1689062978 | Thuy-trinh Tran | Pharmacist | 12255 Fair Lakes Pkwy, Pharmacy Department, Fairfax, VA 22033-3952 | 2015-01-08 |
| 1871901645 | Anahita Aminshokravi | Optometrist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2014-07-24 |
| 1609209980 | Urvi P Shah | Physical Therapist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-08-09 |
| 1326381823 | Lujuana Faye Hairston | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-04-03 |
| 1679815708 | Peter Ho | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-27 |
| 1306188610 | Kimberly Marie Balaban | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
| 1104305754 | Fairfax Foot and Ankle Specialists, Pllc | Podiatrist | 10875 Main St Ste 212, Fairfax, VA 22030-4732 | 2018-08-13 |
| 1891058921 | Lonny Nodelman | Podiatrist | 3020 Hamaker Ct, 201, Fairfax, VA 22031-2238 | 2012-06-22 |
| 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 | ||||
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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.