Organization Active NPI

Landmark Foot and Ankle Center, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1083754428
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LANDMARK FOOT AND ANKLE CENTER, P.C.
Practice address
5249 Duke St
#212
Alexandria, VA 22304-2907
Phone
(703) 370-2313
Fax
(703) 370-2490
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Philip P Garrett, D.P.M.NPI 1578572012
Title
Physician
Phone
(703) 370-2313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

5249 Duke St
#212
Alexandria, VA 22304-2907

Mailing address

5249 Duke St
Suite 212
Alexandria, VA 22304-2907
Phone (703) 370-2313

Other identifiers 1

IdentifierTypeStateIssuer
009303804MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041006000246 DC Part B Supplier - Clinic/Group Practice 2264491265 Receives reassigned benefits from 3 practitioners
Practice locations: Alexandria, VA
O20100930078821 VA DME Supplier - Physician - Podiatry 2264491265 Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

5249 Duke St
Ste 212
Alexandria, VA 22304
Phone (703) 370-2313

5249 Duke St
Ste 403
Alexandria, VA 22304
Phone (703) 370-2313

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1083754428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "SUITE 212",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042907",
            "telephone_number": "703-370-2313",
            "fax_number": "703-370-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST",
            "address_2": "#212",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042907",
            "telephone_number": "703-370-2313",
            "fax_number": "703-370-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK FOOT AND ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-370-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303804",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.