Active NPI
Associated Foot & Ankle Centers of Northern Virginia PC
Doing business as LakeRidge Foot & Ankle Centers
- Foot & Ankle Surgery Podiatrist
- Woodbridge, VA
National Provider Identifier
1467533471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC
- Doing business as
- LakeRidge Foot & Ankle Centers
- Practice address
- 1721 Financial Loop
Woodbridge, VA 22192-2460 - Phone
- (703) 491-9500
- NPI assigned
- Oct 17, 2006
- Last updated
- Jan 19, 2012
- 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
- Dr. Douglas Jeffery Stabile, DPM
- Title
- President
- Phone
- (703) 491-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1721 Financial Loop
Woodbridge, VA 22192-2460
Mailing address
1721 Financial Loop
Woodbridge, VA 22192-2460
Phone (703) 491-9500
Other names 1
- LakeRidge Foot & Ankle Centers
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1467533471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 FINANCIAL LOOP",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922460",
"telephone_number": "703-491-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 FINANCIAL LOOP",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922460",
"telephone_number": "703-491-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "STABILE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "JEFFERY",
"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": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LakeRidge Foot & Ankle Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.