VIENNA PODIATRY LTD NPI 1538340963

NPI Information

NPI: 1538340963
Provider Name: VIENNA PODIATRY LTD
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
527 MAPLE AVE E
SUITE 204
VIENNA, VA
ZIP 22180
Phone: (703) 281-4500
Get Directions

VIENNA PODIATRY LTD is a foot and ankle surgery podiatrist in Vienna, VA. VIENNA PODIATRY LTD NPI is 1538340963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

527 MAPLE AVE E
SUITE 204
VIENNA, VA
ZIP 22180-746
Phone: (703) 281-4500
Fax: (703) 242-8475

The provider's authorized official is Stephen F Stern .
The authorized official title is Podiatrist and has the following contact phone number (703) 281-4500.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 2/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0103000238	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0587601	OTHER	VIRGINIA	AETNA HMO
2	G01797	MEDICARE PIN	VIRGINIA
3	005868	OTHER	VIRGINIA	BLUE SHIELD OF VIRGINIA
4	9300431	MEDICAID	VIRGINIA
5	016712	OTHER	VIRGINIA	BLUE SHIELD OF VIRGINIA
6	0393290001	MEDICARE NSC	VIRGINIA
7	7246	OTHER		BLUE SHIELD OF DC
8	2700089	OTHER		UNITEDHEALTHCARE
9	T31229	MEDICARE UPIN	VIRGINIA
10	4092107	OTHER	VIRGINIA	AETNA MC
11	312945	OTHER		MDIPA/OPTIMUM COICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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