Active NPI
District Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- DISTRICT FOOT AND ANKLE
- Practice address
- 4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833 - Phone
- (703) 832-9013
- NPI assigned
- Apr 11, 2019
- 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
- Lonny Nodelman, DPM
- Title
- Owner
- Phone
- (703) 832-9013
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 & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833
Mailing address
4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833
Phone (703) 832-9013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
4875 Eisenhower Ave
Ste 230
Alexandria, VA 22304
Phone (703) 832-9013
3299 Woodburn Rd
Ste 180
Annandale, VA 22003
Phone (703) 849-8142
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": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1508329913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4875 EISENHOWER AVE STE 230",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223044833",
"telephone_number": "703-832-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 EISENHOWER AVE STE 230",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223044833",
"telephone_number": "703-832-9013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTRICT FOOT AND ANKLE",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "NODELMAN",
"authorized_official_first_name": "LONNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-832-9013",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.