POTOMAC PODIATRY ASSOCIATES LTD NPI 1780866178

NPI Information

  • NPI: 1780866178
  • Provider Name: POTOMAC PODIATRY ASSOCIATES LTD
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 15700 CHAPMAN PL
    MONTCLAIR, VA
    ZIP 22025
  • Phone: (703) 370-5533

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NPI Details

POTOMAC PODIATRY ASSOCIATES LTD is a podiatrist in Montclair, 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. POTOMAC PODIATRY ASSOCIATES LTD NPI is 1780866178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15700 CHAPMAN PL
MONTCLAIR, VA
ZIP 22025-315
Phone: (703) 370-5533
Fax: (703) 680-9579

The provider's authorized official is Jerome Louis Dovberg .
The authorized official title is President/ceo and has the following contact phone number (703) 370-5533.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 5/17/2013.

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
1213E00000XPodiatrist0103000339VIRGINIAYes

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
109301127MEDICAIDVIRGINIA
25653280001MEDICARE NSCVIRGINIA
3U24356MEDICARE UPINDISTRICT OF COLUMBIA
4199095MEDICARE PINDISTRICT OF COLUMBIA

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: 11/21/2025

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