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FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC
NPI 1063306132
Non-Pharmacy Dispensing Site in Lake Ridge, VA

Active since June 04, 2025
1721 FINANCIAL LOOP, LAKE RIDGE, VA 22192(703) 491-9500 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Foot And Ankle Specialists Of The Mid Atlantic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC (NPI 1063306132) is a healthcare organization registered as a non-pharmacy dispensing site in Lake Ridge, Virginia and active in the NPI registry since June 2025. The organization lists Rosalie Kreighbaum, Regional Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063306132
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC
Location Address1721 FINANCIAL LOOPLake Ridge, VA 22192-2460
Mailing AddressPo Box 825159Philadelphia, PA 19182-5159
Phone(703) 491-9500
Organization SubpartNo
Authorized OfficialRosalie KreighbaumRegional Credentialing Specialist · (314) 909-1920
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1063306132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1721 FINANCIAL LOOP, Lake Ridge, VA 22192
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDY JOSEPH ROUSSEL D.P.M.
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
DR. MARK L SCRIPPS
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
ASSOCIATED FOOT & ANKLE CENTERS OF NORTHERN VIRGINIA PC
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
WOODBRIDGE, VA 22192
Prince William County (703) 491-9500
SARA JEANNE GLESSNER MSN, FNP-C, RNFA
Nurse Practitioner (Family)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
DR. DOUGLAS EDWARD STABILE DPM
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
DR. JAMES H CHUNG DPM
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
DR. RICHARD DERNER DPM
Podiatrist (Foot & Ankle Surgery)
1721 FINANCIAL LOOP
LAKE RIDGE, VA 22192
Prince William County (703) 491-9500
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC
Podiatrist
1721 FINANCIAL LOOP
WOODBRIDGE, VA 22192
Prince William County (703) 491-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot And Ankle Specialists Of The Mid Atlantic LLC's NPI number?

The NPI number for Foot And Ankle Specialists Of The Mid Atlantic LLC is 1063306132. It was assigned to this organization in the NPPES registry on June 4, 2025.

Where is Foot And Ankle Specialists Of The Mid Atlantic LLC located?

Foot And Ankle Specialists Of The Mid Atlantic LLC is located at 1721 Financial Loop, Lake Ridge, VA 22192. The listed phone number is (703) 491-9500.

What is Foot And Ankle Specialists Of The Mid Atlantic LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Foot And Ankle Specialists Of The Mid Atlantic LLC was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.