RICARDO BENNETT (NPI# 1134237449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134237449 |
| Entity Type | Individual |
| Full Name | RICARDO BENNETT |
| Credential | D.P.M. |
| Practice Address |
8704 Rolling Rd Manassas VA 20110-4253 |
| Practice Telephone | 7033613132 |
| Practice Fax Number | 7033680291 |
| Mailing Telephone | 7033613132 |
| Mailing Fax Number | 7033680291 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 013001009 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR | 480030235 | 01 | |
| ALLIANCE | 450917 | 01 | |
| VA | PRINCIPAL | 53061 | 01 |
| VA | ANTHEM | 271860 | 01 |
| MDIPA | 450917 | 01 | |
| VA | ANTHEM | 258088 | 01 |
| VA | 9300325 | 05 | |
| VA | UNITED HEALTHCARE | 2700420 | 01 |
| VA | MEDICARE RR | 480023439 | 01 |
| CAREFIRST | 71340002 | 01 | |
| VA | 1077117 | FIRST HEALTH | 01 |
| UNITEDHEALTHCARE | 450917 | 01 | |
| VA | AETNA | 5963579 | 01 |
| Street Address |
8704 ROLLING RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184050650 | Manassas Foot Clinic Pllc | Podiatrist | 8704 Rolling Rd, Manassas, VA 20110-4253 | 2013-09-17 |
| 1528388824 | Akbar Abyaneh | Podiatrist | 8704 Rolling Rd, Manassas, VA 20110 | 2010-06-09 |
| 1578637633 | Manassas Foot Clinic Inc | Podiatrist | 8704 Rolling Rd, Manassas, VA 20110-4253 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023242997 | Battlefield Foot & Ankle Center, P.C. | Podiatrist | 10654 Crestwood Dr, Manassas, VA 20109-3432 | 2009-05-07 |
| 1326017302 | Steven Adam Gordon | Podiatrist | 8577 Sudley Rd Ste A, Manassas, VA 20110-3860 | 2006-03-14 |
| 1962482810 | Reston Podiatry Associates Ltd | Podiatrist | 8577 Sudley Rd, Manassas, VA 20110-3860 | 2006-01-18 |
| 1275770679 | Lisa Ann Beckinella | Podiatrist | 8577 Sudley Rd Ste A, Manassas, VA 20110-3860 | 2009-01-07 |
| 1295700144 | Bruce Ira Vogel | Podiatrist | 8577 Sudley Rd, Manassas, VA 20110-3860 | 2006-02-22 |
| 1720050446 | Martin Steven Stark | Podiatrist | 8577 Sudley Rd, Manassas, VA 20110-3860 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972543 | Achilles Foot Ankle Center Inc | Podiatrist | 681 Hioaks Rd Ste D, Richmond, VA 23225-4043 | 2019-10-08 |
| 1780225078 | Achilles Foot Ankle Center Inc | Podiatrist | 100 Winters St Ste 106, West Point, VA 23181-9534 | 2019-10-08 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| 1982151577 | Complete Care Medical Group LLC | Podiatrist | 41 Peach Grove Ln, Montross, VA 22520-2756 | 2016-09-01 |
| 1245694488 | Kevin David Rabie | Podiatrist | 3720 Holland Rd Ste 100, Virginia Beach, VA 23452-2859 | 2016-04-13 |
| 1093191280 | Lisa Morse | Podiatrist | 174 Todds Creek Ln, Mathews, VA 23109-2144 | 2015-08-11 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1770990764 | Ribeiro Foot and Ankle Center | Podiatrist | 4660 Kenmore Ave Ste 602, Alexandria, VA 22304-1300 | 2014-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.