NPIMap

Organization Active NPI

Associated Foot & Ankle Centers of Northern Virginia PC

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1376795765
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000774 Issued in VA
Legal business name
ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC
Practice address
10730 Main St
Fairfax, VA 22030-3704
Phone
(703) 691-0670
Fax
(703) 385-2865
NPI assigned
Oct 16, 2008
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Dr. Douglas E Stabile, DPMNPI 1467420059
Title
President
Phone
(703) 491-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103000774 VA Primary

Addresses

Primary practice location

10730 Main St
Fairfax, VA 22030-3704

Mailing address

1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone (703) 491-9500

Other names 1

  • LAKERIDGE FOOT & ANKLE CENTER Former legal business name

National Provider Directory

National Provider Directory

Locations

601 S Carlin Springs Rd
Arlington, VA 22204
Phone (703) 671-1200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1376795765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500",
            "fax_number": "703-491-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303704",
            "telephone_number": "703-691-0670",
            "fax_number": "703-385-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "STABILE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-491-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKERIDGE FOOT & ANKLE CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.