Active NPI
James Michael Petko, D.P.M.
- Podiatrist
- Falls Church, VA
National Provider Identifier
1740339092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000682
- Practice address
- 6716 Arlington Blvd
Falls Church, VA 22042-2105 - Phone
- (703) 533-1900
- Fax
- (703) 532-3332
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000682 | VA | Primary |
Addresses
Primary practice location
6716 Arlington Blvd
Falls Church, VA 22042-2105
Mailing address
6716 Arlington Blvd
Falls Church, VA 22042-2105
Phone (703) 533-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480005209 | Other | VA | RAILROAD MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1740339092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6716 ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422105",
"telephone_number": "703-533-1900",
"fax_number": "703-532-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6716 ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220422105",
"telephone_number": "703-533-1900",
"fax_number": "703-532-3332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETKO",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103000682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "480005209",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.