Sterling Foot and Ankle Center PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

STERLING FOOT AND ANKLE CENTER PLLC

Practice address

46090 Lake Center PLZ Ste 204
Sterling, VA 20165-5878

Phone

(703) 539-2036

NPI assigned

Jun 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Thomas Gray, DPMNPI 1184088486

Title

Ceo

Phone

(917) 238-0909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Gray, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sterling, VA
  • NPI 1184088486

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1730748336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 NEWPORT GLEN PASS",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031561",
            "telephone_number": "917-238-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ STE 204",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655878",
            "telephone_number": "703-539-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING FOOT AND ANKLE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-238-0909",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Sterling Endo PLLC
• Sterling Endoscopy Center, LLC
• Sterling Family Chiropractic
• Sterling Family Dental
• Sterling Family Medical PLLC
• Sterling Osteopathic and Wellness Center
• Sterling Urology and Sexual Health LLC
• Sterling Virginia Smiles
• Sterling Wellness, PLLC
• David Gary Stewart, PA-C

• Foot & Ankle Surgery Podiatrist in Sterling, VA
• Providers in Sterling, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.