Active NPI
Nova Podiatry and Wound Care Center LLC
- Foot Surgery Podiatrist
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103301227
- Legal business name
- NOVA PODIATRY AND WOUND CARE CENTER LLC
- Practice address
- 1880 Howard Ave Ste 202
Vienna, VA 22182 - Phone
- (703) 863-9393
- NPI assigned
- May 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arin Ashkan
- Title
- Owner
- Phone
- (703) 651-5850
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0103301227 | VA | Primary |
Addresses
Primary practice location
1880 Howard Ave Ste 202
Vienna, VA 22182
Mailing address
1880 Howard Ave Ste 202
Vienna, VA 22182-2611
Phone (703) 863-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5350 Shawnee Rd
Ste 110
Alexandria, VA 22312
Phone (703) 651-5850
5350 Shawnee Rd
Alexandria, VA 22312
1880 Howard Ave
Ste 203
Vienna, VA 22182
Phone (703) 651-5850
Practitioners & affiliated clinicians
Practitioners 2
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": "1527552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534896000000",
"number": "1285125930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 HOWARD AVE STE 202",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822611",
"telephone_number": "703-863-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 HOWARD AVE STE 202",
"city": "VIENNA",
"state": "VA",
"postal_code": "22182",
"telephone_number": "703-863-9393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA PODIATRY AND WOUND CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-29",
"last_updated": "2018-08-22",
"status": "A",
"authorized_official_last_name": "ASHKAN",
"authorized_official_first_name": "ARIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-651-5850"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103301227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.