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FAIR OAKS PODIATRY AND SPORTS
NPI 1912140310
Podiatrist - Foot & Ankle Surgery in Fairfax, VA

NPI Status: Active since April 14, 2009

Contact Information

3620 JOSEPH SIEWICK DR
SUITE 303
FAIRFAX, VA
ZIP 22033
Phone: (703) 865-6783
Fax: (703) 865-6784

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Authorized Official
  5. NPI Validation
  6. Other Providers Same Location
  7. Frequently Asked Questions
  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About FAIR OAKS PODIATRY AND SPORTS

This page provides the complete NPI Profile along with additional information for Fair Oaks Podiatry And Sports, a provider established in Fairfax, Virginia operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1912140310 assigned on April 2009. The practitioner's primary taxonomy code is 213ES0103X with license number 0103300961 (VA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Zakee Omar Shabazz Dpm (Owner/president)

NPI
1912140310
Provider Name
FAIR OAKS PODIATRY AND SPORTS
Entity Type
Organization
Location Address
3620 JOSEPH SIEWICK DR SUITE 303 FAIRFAX, VA 22033
Location Phone
(703) 865-6783
Location Fax
(703) 865-6784
Mailing Address
12011 LEE JACKSON MEMORIAL HWY SUITE 440 FAIRFAX, VA 22033
Mailing Phone
(703) 865-6783
Mailing Fax
(703) 865-6784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2009
Last Update Date
09-13-2017
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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
License No.
0103300961
License State
VA

Group Taxonomy 193400000X 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ZAKEE OMAR SHABAZZ DPM

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(703) 865-6783

Reviews for FAIR OAKS PODIATRY AND SPORTS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912140310
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292224032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 2 + 4 + 0 + 3 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1912140310 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659371342MS. BRIDGET COLLEEN WOLFE CRNA
Individual		Nurse Anesthetist, Certified Registered3620 JOSEPH SIEWICK DR ANESTHESIA DEPARTMENT
FAIRFAX, VA 22033
(703) 922-9501
1225046303MISS JOSILU PORTELLA PHYSICIANS ASSISTANT
Individual		Physician Assistant (Surgical)3620 JOSEPH SIEWICK DR SUITE 406
FAIRFAX, VA 22033
(703) 359-8640
1033214911DR. WALTER J HODGES JR. MD
Individual		Obstetrics & Gynecology3620 JOSEPH SIEWICK DR 400
FAIRFAX, VA 22033
(703) 264-7801
1083795496MALGORZATA GRADZKA, M.D., P.C.
Organization		Internal Medicine (Rheumatology)3620 JOSEPH SIEWICK DR SUITE 401
FAIRFAX, VA 22033
(703) 648-9800
1124224514JAY C TYROLER M.D.,P.C.
Organization		Internal Medicine3620 JOSEPH SIEWICK DR SUITE 306
FAIRFAX, VA 22033
(703) 264-0521
1376724062DR. MALGORZATA GRADZKA M.D.
Individual		Internal Medicine (Rheumatology)3620 JOSEPH SIEWICK DR SUITE 401
FAIRFAX, VA 22033
(703) 648-9800
1073831780FAIR OAKS PODIATRY AND SPORTS
Organization		Podiatrist (Foot & Ankle Surgery)3620 JOSEPH SIEWICK DR 303
FAIRFAX, VA 22033
(703) 865-6783
1184910226 BRITTANY LAUREN CLEMENTS PT
Individual		Physical Therapist3620 JOSEPH SIEWICK DR SUITE 106
FAIRFAX, VA 22033
(703) 391-2450
1881961407MS. MELANIE JANE WRIGHT NP
Individual		Nurse Practitioner (Obstetrics & Gynecology)3620 JOSEPH SIEWICK DR 400
FAIRFAX, VA 22033
(703) 264-7801
1558624775VIRGINIA VASCULAR PLLC
Organization		Surgery (Vascular Surgery)3620 JOSEPH SIEWICK DR
FAIRFAX, VA 22033
(703) 359-8640
1033427489 CARLA KAY ASPER NP
Individual		Nurse Practitioner (Adult Health)3620 JOSEPH SIEWICK DR SUITE 307
FAIRFAX, VA 22033
(703) 281-1023
1609897438 JENNIFER STARMANN OTT MPT
Individual		Physical Therapist3620 JOSEPH SIEWICK DR STE 100A
FAIRFAX, VA 22033
(703) 810-5227
1285764753 TYRONE DOMINIC HEITMANN PT
Individual		Physical Therapist3620 JOSEPH SIEWICK DR STE 100A
FAIRFAX, VA 22033
(703) 810-5227
1457796641RENASCANCE DERMATOLOGY PC
Organization		Dermatology3620 JOSEPH SIEWICK DR SUITE 303
FAIRFAX, VA 22033
(703) 865-6783
1669636809 CAROLINE LYLE ARTHUR M.D.
Individual		Surgery3620 JOSEPH SIEWICK DR SUITE 406
FAIRFAX, VA 22033
(703) 359-8640
1689671414 ADIL ZAHOOR GHAURI M.D.
Individual		Internal Medicine3620 JOSEPH SIEWICK DR 306
FAIRFAX, VA 22033
(703) 264-0521
1073534814 PATRICK MATHENY PA-C
Individual		Physician Assistant (Medical)3620 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA 22033
(703) 810-5223
1447427000MRS. MARY ELLEN ZATOR ESTES NP
Individual		Nurse Practitioner3620 JOSEPH SIEWICK DR SUITE 306
FAIRFAX, VA 22033
(703) 264-0521
1255508818MRS. BEVERLY ROSE BAYER NP
Individual		Nurse Practitioner3620 JOSEPH SIEWICK DR SUITE 306
FAIRFAX, VA 22033
(703) 264-0521
1710917869 CHETHANA RAO MD
Individual		Internal Medicine3620 JOSEPH SIEWICK DR SUITE 303
FAIRFAX, VA 22033
(703) 870-3750

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912140310, enumerated in the NPI registry as an "organization" on April 14, 2009

The provider is located at 3620 Joseph Siewick Dr Suite 303 Fairfax, Va 22033 and the phone number is (703) 865-6783

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

This NPI record was last updated on April 14, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.