Advanced Pace Foot and Ankle Center

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103000921 Issued in VA

Legal business name

ADVANCED PACE FOOT AND ANKLE CENTER

Practice address

2616 Sherwood Hall LN Ste 401
Alexandria, VA 22306-3154

Phone

(703) 360-9292

Fax

(703) 360-5983

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By 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. Angelo Pace, D.P.M.NPI 1437250370

Title

Owner

Phone

(703) 360-9292

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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.

• Angelo Pace, D.P.M.

  • Foot Surgery Podiatrist
  • Alexandria, VA
  • NPI 1437250370

  DC

  Medicare reassignment NPD Authorized official
• Carla Emilia Ribeiro-Bachtell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
  • NPI 1487762522
  NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1982890943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN STE 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154",
            "telephone_number": "703-360-9292",
            "fax_number": "703-360-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN STE 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063154",
            "telephone_number": "703-360-9292",
            "fax_number": "703-360-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PACE FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-360-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300837",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.