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MANASSAS FOOT CLINIC INC
NPI 1578637633
Podiatrist - Foot & Ankle Surgery in Manassas, VA

Active since November 20, 2006
8704 ROLLING RD, MANASSAS, VA 20110(703) 361-3132(703) 368-0291 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manassas Foot Clinic Inc NPPES

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

MANASSAS FOOT CLINIC INC (NPI 1578637633) is a healthcare organization registered as a foot & ankle surgery in Manassas, Virginia and active in the NPI registry since November 2006. The organization lists Ricardo M. Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1578637633
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMANASSAS FOOT CLINIC INC
Location Address8704 ROLLING RDManassas, VA 20110-4253
Mailing Address8704 Rolling RdManassas, VA 20110-4253 · (703) 361-3132 · Fax (703) 368-0291
Phone(703) 361-3132
Fax(703) 368-0291
Organization SubpartNo
Authorized OfficialRicardo M. BennettPresident · (703) 361-3132
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 18, 2012
✔ NPI 1578637633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in VA · 0103001009
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 0103000268 (VA)
8704 ROLLING RD, Manassas, VA 20110
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Other Identifiers 6

Other035461VA · Blue Shield
Medicare ID-Type UnspecifiedC05858VA
Other21906Unitedhealthcare
Other7134Carefirst
Medicare NSC4813150001VA
Medicaid009300627VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

RICARDO BENNETT D.P.M.
Podiatrist
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 361-3132
MANASSAS FOOT CLINIC PLLC
Podiatrist (Foot & Ankle Surgery)
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 361-3132
YOOJIN KWON FNP-BC
Nurse Practitioner (Family)
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 257-7749
MANASSAS INTERNAL MEDICINE PC
Internal Medicine
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 257-7749
MR. YOUNG KWAN KIM D.O.
Internal Medicine
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 257-7749

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 Manassas Foot Clinic Inc's NPI number?

The NPI number for Manassas Foot Clinic Inc is 1578637633. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Manassas Foot Clinic Inc located?

Manassas Foot Clinic Inc is located at 8704 Rolling Rd, Manassas, VA 20110. The listed phone number is (703) 361-3132.

What is Manassas Foot Clinic Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Manassas Foot Clinic Inc was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.