Active NPI
Lansdowne Podiatry
- Foot & Ankle Surgery Podiatrist
- Leesburg, VA
National Provider Identifier
1659741742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- LANSDOWNE PODIATRY
- Practice address
- 44135 Woodridge Pkwy
Suite 180
Leesburg, VA 20176-1244 - Phone
- (571) 223-0424
- Fax
- (571) 223-0425
- NPI assigned
- Oct 1, 2015
- Last updated
- Dec 18, 2015
- 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
- Monique Renee Rolle, D.P.M.
- Title
- Owner
- Phone
- (571) 223-0424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU | Primary |
Addresses
Primary practice location
44135 Woodridge Pkwy
Suite 180
Leesburg, VA 20176-1244
Mailing address
10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F094 | Other | VA | MEDICARE |
| 1659741742 | Other | VA | MEDICAL ASSISTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3901 Georgia Ave NW
Ste 2
Washington, DC 20011
Phone (202) 543-0035
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": "1443657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450396800000",
"number": "1659741742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 PHILADELPHIA RD",
"city": "WHITE MARSH",
"state": "MD",
"postal_code": "211621717",
"telephone_number": "410-335-0008",
"fax_number": "410-335-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44135 WOODRIDGE PKWY",
"address_2": "SUITE 180",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761244",
"telephone_number": "571-223-0424",
"fax_number": "571-223-0425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSDOWNE PODIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-01",
"last_updated": "2015-12-18",
"status": "A",
"authorized_official_last_name": "ROLLE",
"authorized_official_first_name": "MONIQUE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-223-0424",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F094",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "1659741742",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.