FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC (NPI# 1639545353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639545353 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Practice Address |
1860 Town Center Dr Suite 220 Reston VA 20190-5896 |
| Mailing Address |
1600 E Gude Dr Suite 200 Rockville MD 20850-1341 |
| Practice Telephone | 7033910211 |
| Mailing Telephone | 3019337133 |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | DR. DAVID FREEDMAN (VICE-PRESIDENT) |
| Authorized Official Telephone | 3015980130 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| Street Address |
1860 TOWN CENTER DR SUITE 220 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743688 | Eric B Masternick | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2005-07-11 |
| 1881204824 | Amar Rajbir Singh Gill | Physician Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2020-08-04 |
| 1518431576 | Amanda Joan Field | Physician Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2019-01-13 |
| 1235664897 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr, Suite 140, Reston, VA 20190-5896 | 2017-04-20 |
| 1144777541 | Leanne Mcnabney | Physical Therapist | 1860 Town Center Dr, Suite 300, Reston, VA 20190-5896 | 2016-09-02 |
| 1912451238 | Emily Anne Sunkin | Physician Assistant | 1860 Town Center Dr, Suite 335, Reston, VA 20190-5896 | 2016-08-04 |
| 1033587365 | Gabrielle Pham-che | Physical Therapist | 1860 Town Center Dr, Reston, VA 20190-5896 | 2015-09-03 |
| 1992197685 | Northern Virginia Hearing Aid LLC | Hearing Aid Equipment | 1860 Town Center Dr, Suite 225, Reston, VA 20190-5896 | 2015-03-04 |
| 1316339625 | Susan Hansen | Physical Therapy Assistant | 1860 Town Center Dr, Reston, VA 20190-5896 | 2015-02-24 |
| 1578954848 | Tanya Galofaro Dpt | Physical Therapist | 1860 Town Center Dr, Suite 300, Reston, VA 20190-5896 | 2015-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| 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 |
|---|---|---|---|---|
| 1609933076 | Reston Podiatry Associates Ltd | Podiatrist | 11737 Bowman Green Drive, Reston, VA 20190 | 2007-01-03 |
| 1396743688 | Eric B Masternick | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2005-07-11 |
| 1538470869 | Man H Cho | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2010-07-01 |
| 1689657389 | Seth A Rubenstein | Podiatrist | 1860 Town Center Dr, Suite 220, Reston, VA 20190-5896 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972543 | Achilles Foot Ankle Center Inc | Podiatrist | 681 Hioaks Rd Ste D, Richmond, VA 23225-4043 | 2019-10-08 |
| 1780225078 | Achilles Foot Ankle Center Inc | Podiatrist | 100 Winters St Ste 106, West Point, VA 23181-9534 | 2019-10-08 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| 1982151577 | Complete Care Medical Group LLC | Podiatrist | 41 Peach Grove Ln, Montross, VA 22520-2756 | 2016-09-01 |
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1093191280 | Lisa Morse | Podiatrist | 174 Todds Creek Ln, Mathews, VA 23109-2144 | 2015-08-11 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1770990764 | Ribeiro Foot and Ankle Center | Podiatrist | 4660 Kenmore Ave Ste 602, Alexandria, VA 22304-1300 | 2014-07-22 |
| Find all providers with the same taxonomy | ||||
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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.