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FAIRFAX FOOT AND ANKLE CENTER P.C. NPI 1750452694


NPI Information

NPI: 1750452694
Provider Name: FAIRFAX FOOT AND ANKLE CENTER, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
10721 MAIN ST
SUITE 103
FAIRFAX, VA
ZIP 22030
Phone: (703) 273-3622
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FAIRFAX FOOT AND ANKLE CENTER, P.C. is a podiatrist in Fairfax, VA. The provider is 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. FAIRFAX FOOT AND ANKLE CENTER, P.C. NPI is 1750452694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10721 MAIN ST
SUITE 103
FAIRFAX, VA
ZIP 22030-914
Phone: (703) 273-3622
Fax: (703) 273-0313

The provider's authorized official is Raymond J Olkin .
The authorized official title is President and has the following contact phone number (703) 273-3622.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 2/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0103000250VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1346199PPOOTHERNCPPO
251277OTHERALLIANCE
3207996OTHERVIRGINIAANTHEM BC BS
44313936OTHERAETNA NON HMO PLANS
58665OTHERCAREFIRST BCBS
60604177OTHERCIGNA INSURANCE
7T30913MEDICARE UPINVIRGINIA
80538770001MEDICARE NSCVIRGINIA
9G01788MEDICARE PINVIRGINIA
1051277OTHEROP-CHOICE, MDIPA
112153713OTHERAETNA HMO PLANS
12009303791MEDICAIDVIRGINIA

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

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