Dynamic Foot And Ankle Center | |
9010 Lorton Station Blvd, Suite 270, Lorton, VA 22079-4792 | |
(571) 418-8670 | |
(571) 418-8671 |
Full Name | Dynamic Foot And Ankle Center |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 9010 Lorton Station Blvd, Lorton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912399395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103301037 (Virginia) | Primary |
Provider Name | Dannielle Lee Vonderlinden |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225349574 PECOS PAC ID: 6002097946 Enrollment ID: I20150512001753 |
Provider Name | Suchir K Sheth |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982050209 PECOS PAC ID: 9133452840 Enrollment ID: I20200901000441 |
Provider Name | Shyaun Rafii |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316443278 PECOS PAC ID: 0143612630 Enrollment ID: I20220112002488 |
Provider Name | Andrew Falco |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1750886081 PECOS PAC ID: 7719356120 Enrollment ID: I20230121000005 |
Provider Name | Tyler Gloschat |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114415437 PECOS PAC ID: 3375950215 Enrollment ID: I20231221002695 |
Mailing Address | Practice Location Address |
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Dynamic Foot And Ankle Center 9010 Lorton Station Blvd, Suite 270, Lorton, VA 22079-4792 Ph: (571) 418-8670 | Dynamic Foot And Ankle Center 9010 Lorton Station Blvd, Suite 270, Lorton, VA 22079-4792 Ph: (571) 418-8670 |
Dr. Tyler Gloschat, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 | |
Dr. Dannielle Vonderlinden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd, Suite 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 | |
Shyaun Rafii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 | |
Andrew Falco, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 9010 Lorton Station Blvd Ste 270, Lorton, VA 22079 Phone: 571-418-8670 Fax: 571-418-8671 |