Fair Oaks Podiatry and Sports

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103300961 Issued in VA

Legal business name

FAIR OAKS PODIATRY AND SPORTS

Practice address

3620 Joseph Siewick Dr
303
Fairfax, VA 22033-1756

Phone

(703) 865-6783

Fax

(703) 865-6784

NPI assigned

May 6, 2010

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zakee Omar Shabazz, DPMNPI 1437266145

Title

Owner

Phone

(703) 865-6783

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zakee Omar Shabazz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
  • NPI 1437266145
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1073831780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "303",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-865-6783",
            "fax_number": "703-865-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR",
            "address_2": "303",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331756",
            "telephone_number": "703-865-6783",
            "fax_number": "703-865-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS PODIATRY AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SHABAZZ",
        "authorized_official_first_name": "ZAKEE",
        "authorized_official_middle_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-865-6783",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Oaks Internal Medicine
• Fair Oaks Medical Care Inc.
• Fair Oaks Ortho, PLLC
• Fair Oaks Ortho, PLLC
• Fair Oaks Orthopaedic Associates, Inc
• Fair Oaks Podiatry and Sports
• Fair Oaks Skin Care Center, LTD (Fair Oaks Skin Care Center)
• Fair Oaks Smiles Pediatric Dentistry
• Fair Oaks SNF Operations LLC (Fair Oaks Health & Rehabilitation)
• Fair Oaks Surgical Associates LLC

• Foot & Ankle Surgery Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.