Michael P Petranek (NPI# 1265449508, PAC ID# 1052410438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1265449508 |
| PAC ID by PECOS | 1052410438 |
| Professional Enrollment ID | I20150205000744 |
| Full Name | Michael P Petranek |
| Organization Legal Name | RICHARD S MENDELSOHN |
| Address |
9918 Main St Fairfax VA 22031-3901 |
| Phone Number | 7032739818 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9335181627 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490145 | STONESPRINGS HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9918 Main St, Fairfax, VA 22031-3901 | 7032739818 | RICHARD S MENDELSOHN |
| 2863 Hunter Mill Rd, Oakton, VA 22124-1702 | 7032551006 | RICHARD S MENDELSOHN |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RICHARD S MENDELSOHN |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zacharia Facaros | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Darlene N Saheta | Podiatry | Richard S Mendelsohn | 4475 Regency Pl, Suite 204, White Plains, MD 20695-3074 |
| Adisa Mujkic | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Deena Charney | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Gary J Scheib | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Street Address |
9918 MAIN ST |
| City | FAIRFAX |
| State | VA |
| Zip | 22031-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zacharia Facaros | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Adisa Mujkic | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Deena Charney | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Gary J Scheib | Podiatry | Richard S Mendelsohn | 9918 Main St, Fairfax, VA 22031-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan Ellsworth Gramstad | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Danielle E Bloom | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Patricia K Towsley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Carly Bose Klemen | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Barbara Semple | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Madison J Buckley | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Megan Alexandria Sharo | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Christopher Millikan | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Lauren Michelle Goldberg | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Erin M Mcdonald | Physical Therapy | Jackson Clinics Limited Partnership | 8550 Lee Hwy 450, Fairfax, VA 22031-1519 |
| Find all physicians in zip 22031 | |||
| City | FAIRFAX |
| Zip Code | 22031 |
| Specialty | PODIATRY |
| City + Specialty | FAIRFAX + PODIATRY |
Please comment or provide details below to improve the information on Michael P Petranek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.