ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC (NPI# 1467533471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467533471 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC |
| Other Organization Name | LAKERIDGE FOOT & ANKLE CENTERS |
| Practice Address |
1721 Financial Loop Woodbridge VA 22192-2460 |
| Practice Telephone | 7034919500 |
| Mailing Telephone | 7034919500 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | DR. DOUGLAS JEFFERY STABILE (PRESIDENT) |
| Authorized Official Telephone | 7034919500 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| LakeRidge Foot & Ankle Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376795765 | Associated Foot & Ankle Centers of Northern Virginia PC | Podiatrist | 10730 Main St, Fairfax, VA 22030-3704 | 2008-10-16 |
| Street Address |
1721 FINANCIAL LOOP |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457290 | Bryan James Levay | Podiatrist | 2280 Opitz Blvd Ste 230, Woodbridge, VA 22191 | 2014-08-18 |
| 1700106424 | S. Carrington, Inc | Podiatrist | 14904 Jefferson Davis Hwy Ste 105, Woodbridge, VA 22191-3908 | 2010-06-04 |
| 1831197177 | Arnold Steven Levin | Podiatrist | 4225 Dale Blvd, Woodbridge, VA 22193-2243 | 2005-07-11 |
| 1598056095 | Robert Joseph Toomey IIi | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2011-05-02 |
| 1912133711 | Tina Phuong Huynh | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2009-06-08 |
| 1770724148 | Shaunn Dominique Malaka | Podiatrist | 14904 Jefferson Davis Hwy, Ste 105, Woodbridge, VA 22191-3908 | 2009-03-16 |
| 1427260751 | Chantilly Foot and Ankle Center,llc | Podiatrist | 14904 Jefferson Davis Hwy, Suite 308, Woodbridge, VA 22191-3908 | 2007-05-07 |
| 1184731549 | Potomac Podiatry Pllc | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2006-08-23 |
| 1790892131 | Vincent Joseph Bonini | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC.
| 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.