Associated Foot & Ankle Centers of Northern Virginia PC

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

Organization subpart

No

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

Authorized official

Name

Dr. Douglas E Stabile, DPM

Title

President

Phone

(703) 491-9500

Specialties & licenses 1

Addresses

Other names 1

• LAKERIDGE FOOT & ANKLE CENTER Former legal business name

Locations

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"
        }
    ]
}

• Carla Kay Asper, NP
• Assal Assadi, D.M.D.
• Yasmine Assadipour, M.D.
• Ali Reza Assefi, MD
• Arwa Assmi
• Association of Alexandria Radiologists
• William Matthew Astor, M.D.
• Odita Dungo Asuncion, M.D.
• Rebekah Lee Atencio, MS CCC-SLP
• Melany Beth Atkins, M.D.

• 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 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.