FAMILY FOOT AND ANKLE CENTER (NPI# 1588032916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588032916 |
| Entity Type | Organization |
| Organization Name | FAMILY FOOT AND ANKLE CENTER |
| Practice Address |
1420 Central Park Blvd Ste 200 Fredericksburg VA 22401-4932 |
| Practice Telephone | 5407857000 |
| Practice Fax Number | 5407857005 |
| Mailing Telephone | 5407857000 |
| Mailing Fax Number | 5407857005 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | BRETT CHICKO (OWNER) |
| Authorized Official Telephone | 5407857000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE NSC | 7558010001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306183280 | Family Foot and Ankle Center | Podiatrist | 841 Mulberry St, Macon, GA 31201-6756 | 2013-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY FOOT AND ANKLE CENTER OF SOUTHERN ILLINOIS LLC | 807 S Division St, Carterville, IL 62918-1528 |
| Street Address |
1420 CENTRAL PARK BLVD STE 200 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341620 | Brett A Chicko | Podiatrist | 1420 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4932 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669564829 | Rappahannock Foot & Ankle Specialists, Plc | Podiatrist | 195 Falcon Drive, Fredericksburg, VA 22408 | 2006-09-28 |
| 1457341620 | Brett A Chicko | Podiatrist | 1420 Central Park Blvd Ste 200, Fredericksburg, VA 22401-4932 | 2005-10-27 |
| 1538407473 | Bryce Jarrod Karulak | Podiatrist | 205 W Windcrest St, Ste 130, Fredericksburg, TX 78624-4479 | 2013-01-28 |
| 1609042779 | Sunshine Cathleen Brady-thomas | Podiatrist | 195 Falcon Dr, Fredericksburg, VA 22408-1930 | 2008-05-07 |
| 1861681942 | John W Cook Dpm, Ltd | Podiatrist | 4103 Lafayette Blvd, 2nd Floor, Fredericksburg, VA 22408-4274 | 2007-10-15 |
| 1164449864 | Ross James Girvan | Podiatrist | 611 Jefferson Davis Hwy, Suite 101, Fredericksburg, VA 22401-8402 | 2006-07-17 |
| 1124096664 | Stephen Matthew Carley | Podiatrist | 195 Falcon Dr, Fredericksburg, VA 22408-1930 | 2006-03-10 |
| 1619966579 | John William Cook | Podiatrist | 4103 Lafayette Blvd, 2nd Floor, Fredericksburg, VA 22408-4229 | 2005-10-13 |
| 1285630186 | Claudine Nicole Dupont | Podiatrist | 195 Falcon Drive, Fredericksburg, VA 22408 | 2005-06-24 |
| 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 | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on FAMILY FOOT AND ANKLE CENTER.
| 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.