| Potomac Podiatry Pllc | |
|
14010 Smoketown Rd Ste 103, Woodbridge, VA 22192-4723 | |
| (703) 583-5959 | |
| (703) 583-5995 |
| Full Name | Potomac Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 14010 Smoketown Rd Ste 103, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184731549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103000852 (Virginia) | Primary |
| Provider Name | Mark Daniel Dollard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427049766 PECOS PAC ID: 4981652906 Enrollment ID: I20050519000328 |
| Provider Name | Vincent J Bonini |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790892131 PECOS PAC ID: 9335167642 Enrollment ID: I20051104000633 |
| Provider Name | Robert Joseph Toomey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598056095 PECOS PAC ID: 1153547971 Enrollment ID: I20150730011137 |
| Provider Name | Peter Neil Brieloff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134122138 PECOS PAC ID: 8224188271 Enrollment ID: I20190219002417 |
| Provider Name | Shruti A Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992187082 PECOS PAC ID: 1850648379 Enrollment ID: I20200424001113 |
| Provider Name | Brittany Emma Mayer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801247150 PECOS PAC ID: 9335568849 Enrollment ID: I20210316002357 |
| Provider Name | Jared C Melman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922627025 PECOS PAC ID: 8820455033 Enrollment ID: I20230605002207 |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Podiatry Pllc 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192-4723 Ph: (703) 583-5959 | Potomac Podiatry Pllc 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192-4723 Ph: (703) 583-5959 |
Dr. Edna C Holmes, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1700 Rosedale Ct, Woodbridge, VA 22191 Phone: 703-494-3070 Fax: 703-491-9501 | |
Dr. Owmy Bouloute, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5049 Anchorstone Dr, Woodbridge, VA 22192 Phone: 678-517-4214 | |
Bouloute Healthcare Services, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 5049 Anchorstone Dr, Woodbridge, VA 22192 Phone: 678-517-4214 | |
Dr. Peter Neil Brieloff, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192 Phone: 703-583-5959 | |
Foot And Ankle Specialists Of The Mid-atlantic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1721 Financial Loop, Woodbridge, VA 22192 Phone: 703-491-9500 Fax: 703-491-9994 | |
Progressive Feet Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2296 Opitz Blvd Ste 510, Woodbridge, VA 22191 Phone: 571-285-4208 Fax: 571-285-4240 |