NPIMap

Organization Active NPI

Rappahannock Foot & Ankle Specialists, PLC

  • Foot & Ankle Surgery Podiatrist
  • Fredericksburg, VA
National Provider Identifier
1669564829
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RAPPAHANNOCK FOOT & ANKLE SPECIALISTS, PLC
Practice address
195 Falcon Drive
Fredericksburg, VA 22408
Phone
(540) 371-2724
Fax
(540) 371-5072
NPI assigned
Sep 28, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Stephen Matthew Carley, DPMNPI 1124096664
Title
Co-Owner
Phone
(540) 371-2724

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

195 Falcon Drive
Fredericksburg, VA 22408

Mailing address

PO Box 8389
Fredericksburg, VA 22404
Phone (540) 371-2724

Other practice location 1

450 Garrisonville Rd Ste 115
Stafford, VA 22554-1615
Phone (540) 720-0674

Other names 1

  • the Foot Doctor of Rappahannock, Ltd., PLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040715000864 VA Part B Supplier - Clinic/Group Practice 5991784779 Receives reassigned benefits from 11 practitioners
Practice locations: Fredericksburg, VA; Stafford, VA
O20100930007955 VA DME Supplier - Physician - Podiatry 5991784779 Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory
Tax ID family
Foot Doctor of Rappahan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Garrisonville Rd
Ste 115
Stafford, VA 22554
Phone (540) 720-0674

608 Garrisonville Rd
Ste 102
Stafford, VA 22554
Phone (540) 371-2724

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1669564829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8389",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22404",
            "telephone_number": "540-371-2724",
            "fax_number": "540-371-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FALCON DRIVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-371-2724",
            "fax_number": "540-371-5072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Garrisonville Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541615",
            "country_code": "US",
            "telephone_number": "540-720-0674",
            "fax_number": "540-720-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAPPAHANNOCK FOOT & ANKLE SPECIALISTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CARLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "540-371-2724",
        "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": [
        {
            "organization_name": "the Foot Doctor of Rappahannock, Ltd., PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.

Verify at the official NPI Registry.