Fairfax Foot and Ankle Center, P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0103000250 Issued in VA

Legal business name

FAIRFAX FOOT AND ANKLE CENTER, P.C.

Practice address

10721 Main St
Suite 103
Fairfax, VA 22030-6914

Phone

(703) 273-3622

Fax

(703) 273-0313

NPI assigned

Nov 13, 2006

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raymond J Olkin, D.P.MNPI 1386641959

Title

President

Phone

(703) 273-3622

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in DC, VA3 enrollments

Enrollment records 3

Locations

Practitioners 2

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.

• Raymond James Olkin, DPM

  • Podiatrist
  • Fairfax, VA
  • NPI 1386641959

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Rostana Said, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
  • NPI 1073655643

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1750452694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-273-3622",
            "fax_number": "703-273-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-273-3622",
            "fax_number": "703-273-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX FOOT AND ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "OLKIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-273-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "346199PPO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "0604177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO PLANS",
            "identifier": "4313936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "51277",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009303791",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PLANS",
            "identifier": "2153713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "8665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "207996",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OP-CHOICE, MDIPA",
            "identifier": "51277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfax Eye Center, PC
• Fairfax Eye Docs, LLC
• Fairfax Family Life Behavioral Health, LLC
• Fairfax Family Practice Centers PC (Fairfax Family Practice)
• Fairfax Family Practice Centers, P.C (Prosperity Primary Care)
• Fairfax Foot and Ankle Specialists, PLLC
• Fairfax Gastroenterology, Inc.
• Fairfax Home Birth
• Fairfax Integrative Therapy, LLC
• Fairfax Internal Medicine

• Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.