Organization 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
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.