Clifton Foot and Ankle Center P.C.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000986 Issued in VA

Legal business name

CLIFTON FOOT AND ANKLE CENTER P.C.

Practice address

6101 Redwood Square Center
Suite 303
Centreville, VA 20121-4269

Phone

(703) 996-3000

Fax

(703) 229-1152

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Reed Wilhelm, DPMNPI 1841287414

Title

President

Phone

(703) 996-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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.

• Kenneth R Wilhelm, DPM

  • Foot Surgery Podiatrist
  • Centreville, VA
  • NPI 1841287414

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1902182660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CTR",
            "address_2": "SUITE 303",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214265",
            "telephone_number": "703-996-3000",
            "fax_number": "703-229-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CENTER",
            "address_2": "SUITE 303",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214269",
            "telephone_number": "703-996-3000",
            "fax_number": "703-229-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON FOOT AND ANKLE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-996-3000",
        "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": "0103000986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6614380001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eunhwa Chun, RPH
• Chungkang Pharmacy, LLC (Centreville Pharmacy)
• Nessa-Jade Marie Cinco
• Clear Dental
• Clifton Centreville Medical Associates (Ccma)
• Ashleigh Clingenpeel, RN
• Rizalyn Silvino Cloos, DPT
• Coker Senior Services, LLC (Seniors Helping Seniors)
• Lindsay Colello
• Linda Colette Coleman, NP

• Foot & Ankle Surgery Podiatrist in Centreville, VA
• Providers in Centreville, 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 May 13, 2013; 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.