MANASSAS FOOT CLINIC PLLC
NPI 1184050650
Podiatrist - Foot & Ankle Surgery in Manassas, VA
- Organization
- Podiatrist
- Foot & Ankle Surgery
About MANASSAS FOOT CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Manassas Foot Clinic Pllc, a provider established in Manassas, Virginia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1184050650 assigned on September 2013. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Ricardo M Bennett Dpm (President)
- NPI
- 1184050650 Verify this NPI
- Provider Name
- MANASSAS FOOT CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 8704 ROLLING RD MANASSAS, VA 20110
- Location Phone
- (703) 361-3132
- Location Fax
- (703) 368-0291
- Mailing Address
- 8704 ROLLING RD MANASSAS, VA 20110
- Mailing Phone
- (703) 361-3132
- Mailing Fax
- (703) 368-0291
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-17-2013
- Last Update Date
- 09-17-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184050650, enumerated as an "organization" on September 17, 2013.
The provider is located at 8704 ROLLING RD MANASSAS, VA 20110 and the phone number is (703) 361-3132.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.