DR. KEVIN CHARLES LUTTA (NPI# 1902063092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902063092 |
Entity Type | Individual |
Full Name | DR. KEVIN CHARLES LUTTA |
Credential | M.D. |
Practice Address |
13350 Franklin Farm Road Suite 220 Herndon VA 20171-4095 |
Mailing Address |
Po Box 75420 Baltimore MD 21275-5420 |
Practice Telephone | 7038105204 |
Practice Fax Number | 7038105411 |
Mailing Telephone | 7033836469 |
Enumeration Date | 2008-05-17 |
Last Update Date | 2015-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
01011247618 | VA | Allopathic & Osteopathic Physicians |
Street Address |
13350 FRANKLIN FARM ROAD SUITE 220 |
City | HERNDON |
State | VA |
Zip Code | 20171-4095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174521033 | Anne Bielamowicz | Anesthesiology | 13350 Franklin Farm Road, Ste 100, Herndon, VA 20171-4095 | 2005-07-13 |
1932285111 | Orthovirginia Operatory | Clinic/Center | 13350 Franklin Farm Road, Ste 100, Herndon, VA 20171-4095 | 2006-10-31 |
1588687552 | Orthovirginia, Inc | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 | 2006-07-25 |
1215958053 | Dean R Bennett | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 | 2006-07-21 |
1740201573 | William A Hazel | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171 | 2006-07-21 |
1174540215 | Orthovirginia, Inc. | Physical Therapist | 13350 Franklin Farm Road, Ste 300, Herndon, VA 20171-4095 | 2006-07-16 |
1003807405 | Thomas John Schymanski | Physician Assistant | 13350 Franklin Farm Road, Ste 220, Herndon, VA 20171-4095 | 2005-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
Find all providers in zip 20171 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922195858 | John Donald Duerden | Orthopaedic Surgery | 501 Discovery Dr, Chesapeake, VA 23320-3843 | 2006-10-10 |
1396031142 | Oliver Nikolaas Schipper | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2011-06-21 |
1063556603 | Venkat Perumal | Orthopaedic Surgery | 545 Ray C Hunt Dr, Ste 310, Charlottesville, VA 22903-2981 | 2007-02-16 |
1114084407 | Minton Truitt Cooper | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Medical Office Bldg 2, Charlottesville, VA 22903-0001 | 2007-01-03 |
1245310614 | Steven K Neufeld | Orthopaedic Surgery | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2006-10-17 |
1144242298 | Michael Andrew Caines | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2006-07-24 |
1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
1871536235 | Mark Mcclellan Jones | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2006-06-14 |
1235171406 | Mark Lindsay Hagy | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-12 |
1912948209 | John David Bowman | Orthopaedic Surgery | 8266 Atlee Rd, Suite 133, Mechanicsville, VA 23116-1804 | 2006-06-09 |
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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.