Organization Active NPI

S. Carrington, Inc

  • Foot & Ankle Surgery Podiatrist
  • Woodbridge, VA
National Provider Identifier
1700106424
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301025 Issued in VA
Legal business name
S. CARRINGTON, INC
Practice address
14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908
Phone
(703) 490-8171
Fax
(703) 490-8172
NPI assigned
Jun 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Dr. Shaunn D Malaka, DPMNPI 1770724148
Title
Owner
Phone
(703) 232-5776

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 0103301025 VA Primary

Addresses

Primary practice location

14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908

Mailing address

14904 Jefferson Davis Hwy Ste 105
Woodbridge, VA 22191-3908
Phone (703) 490-8171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100901000139 VA Part B Supplier - Clinic/Group Practice 4688798416 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA
O20110202000590 DC Part B Supplier - Clinic/Group Practice 4688798416 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

14904 Richmond Hwy
Ste 105
Woodbridge, VA 22191

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": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1700106424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-490-8171",
            "fax_number": "703-490-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-490-8171",
            "fax_number": "703-490-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CARRINGTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "MALAKA",
        "authorized_official_first_name": "SHAUNN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-232-5776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2018; 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.