Fairfax Foot and Ankle Specialists, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC

Practice address

10875 Main St Ste 212
Fairfax, VA 22030-4732

Phone

(203) 494-6958

NPI assigned

Aug 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Scholnick, DPMNPI 1417247834

Title

Podiatrist

Phone

(203) 494-6958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Kyle Samuel Scholnick, DPM

  • Podiatrist
  • Fairfax, VA
  • NPI 1417247834

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1104305754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 212",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 212",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "203-494-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHOLNICK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "203-494-6958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Eye Docs, LLC
• Fairfax Family Life Behavioral Health, LLC
• Fairfax Family Practice Centers PC
• Fairfax Family Practice Centers, P.C
• Fairfax Foot and Ankle Center, P.C.
• Fairfax Gastroenterology, Inc.
• Fairfax Home Birth
• Fairfax Integrative Therapy, LLC
• Fairfax Internal Medicine
• Fairfax Loudoun OBGYN, Inc

• Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.