DR. KEVIN CHARLES LUTTA


Address: 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095
Phone: 7038105204

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
01011247618 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 13350 FRANKLIN FARM ROAD
SUITE 220
City HERNDON
State VA
Zip Code 20171-4095

Providers in the same location

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

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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 Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City HERNDON
Zip Code 20171

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Dataset Information

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.

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