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CLIFTON FOOT AND ANKLE CENTER P.C. NPI 1902182660


NPI Information

NPI: 1902182660
Provider Name: CLIFTON FOOT AND ANKLE CENTER P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6101 REDWOOD SQUARE CENTER
SUITE 303
CENTREVILLE, VA
ZIP 20121
Phone: (703) 996-3000
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CLIFTON FOOT AND ANKLE CENTER P.C. is a foot and ankle surgery podiatrist in Centreville, VA. CLIFTON FOOT AND ANKLE CENTER P.C. NPI is 1902182660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6101 REDWOOD SQUARE CENTER
SUITE 303
CENTREVILLE, VA
ZIP 20121-269
Phone: (703) 996-3000
Fax: (703) 229-1152

The provider's authorized official is Kenneth Reed Wilhelm .
The authorized official title is President and has the following contact phone number (703) 996-3000.

The enumeration date for this NPI number is 10/26/2011 and was last updated on 5/13/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery0103000986VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U65884MEDICARE PINVIRGINIA
26614380001MEDICARE UPINVIRGINIA
3009302531MEDICAIDVIRGINIA
4901203MEDICARE PINVIRGINIA
56614380001OTHERVIRGINIADME PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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