POTOMAC PODIATRY PLLC (NPI# 1184731549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731549 |
| Entity Type | Organization |
| Organization Name | POTOMAC PODIATRY PLLC |
| Practice Address |
2280 Opitz Blvd Suite 230 Woodbridge VA 22191-3362 |
| Practice Telephone | 7035835959 |
| Practice Fax Number | 7035835995 |
| Mailing Telephone | 7035835959 |
| Mailing Fax Number | 7035835995 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | DR. VINCENT JOSEPH BONINI (PRESIDENT) |
| Authorized Official Telephone | 7035835959 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103000852 | VA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2280 OPITZ BLVD SUITE 230 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653648 | Amy Fordree Varias | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2005-07-20 |
| 1407369374 | Nicole Theresa Layman | Registered Nurse | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2017-11-14 |
| 1235501719 | Lashawna Heflin | Nurse Practitioner | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2015-10-23 |
| 1710304027 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 110, Woodbridge, VA 22191-3362 | 2014-03-25 |
| 1134559479 | Christina Ruth Parks | Nurse Anesthetist, Certified Registered | 2280 Opitz Blvd, Woodbridge, VA 22191 | 2013-11-23 |
| 1356773048 | Houshang Makipour, Md PC | Specialist | 2280 Opitz Blvd, Suite 200, Woodbridge, VA 22191-3362 | 2013-08-05 |
| 1053680785 | Andre F Feltren | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2011-12-27 |
| 1790053965 | Sentara Medical Group | Internal Medicine | 2280 Opitz Blvd, Ste 250, Woodbridge, VA 22191-3362 | 2011-12-02 |
| 1205118254 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 320, Woodbridge, VA 22191-3362 | 2011-09-15 |
| 1447530803 | Commonwealth Audiology LLC | Hearing Aid Equipment | 2280 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3362 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457290 | Bryan James Levay | Podiatrist | 2280 Opitz Blvd Ste 230, Woodbridge, VA 22191 | 2014-08-18 |
| 1700106424 | S. Carrington, Inc | Podiatrist | 14904 Jefferson Davis Hwy Ste 105, Woodbridge, VA 22191-3908 | 2010-06-04 |
| 1831197177 | Arnold Steven Levin | Podiatrist | 4225 Dale Blvd, Woodbridge, VA 22193-2243 | 2005-07-11 |
| 1598056095 | Robert Joseph Toomey IIi | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2011-05-02 |
| 1912133711 | Tina Phuong Huynh | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2009-06-08 |
| 1770724148 | Shaunn Dominique Malaka | Podiatrist | 14904 Jefferson Davis Hwy, Ste 105, Woodbridge, VA 22191-3908 | 2009-03-16 |
| 1427260751 | Chantilly Foot and Ankle Center,llc | Podiatrist | 14904 Jefferson Davis Hwy, Suite 308, Woodbridge, VA 22191-3908 | 2007-05-07 |
| 1467533471 | Associated Foot & Ankle Centers of Northern Virginia PC | Podiatrist | 1721 Financial Loop, Woodbridge, VA 22192-2460 | 2006-10-17 |
| 1790892131 | Vincent Joseph Bonini | Podiatrist | 2280 Opitz Blvd, Suite 230, Woodbridge, VA 22191-3362 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on POTOMAC PODIATRY PLLC.
| 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.