CDM Foot and Ankle Pain and Sprain LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301168 Issued in VA

Legal business name

CDM FOOT AND ANKLE PAIN AND SPRAIN LLC

Practice address

6116 Rolling Rd
Suite 116
Springfield, VA 22152-1521

Phone

(571) 216-5467

Fax

(703) 866-7077

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Ton Q Ho

Title

Owner

Phone

(571) 216-5467

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TON Q HO Other name

Locations

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1922554450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "571-216-5467",
            "fax_number": "703-866-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521521",
            "telephone_number": "571-216-5467",
            "fax_number": "703-866-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDM FOOT AND ANKLE PAIN AND SPRAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "TON",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-216-5467"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1295179182",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TON Q HO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Springfield, VA
• Providers in Springfield, 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 Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.