Provider Demographics
NPI:1407818636
Name:RICHARD A ROBBINS DPM
Entity Type:Organization
Organization Name:RICHARD A ROBBINS DPM
Other - Org Name:ALEXANDRIA FOOT & ANKLE
Other - Org Type:Other Name
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM FAC FAS
Authorized Official - Phone:703-370-2457
Mailing Address - Street 1:4660 KENMORE AVE
Mailing Address - Street 2:#400
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304
Mailing Address - Country:US
Mailing Address - Phone:703-370-2457
Mailing Address - Fax:703-370-5595
Practice Address - Street 1:4660 KENMORE AVE
Practice Address - Street 2:#400
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304
Practice Address - Country:US
Practice Address - Phone:703-370-2457
Practice Address - Fax:703-370-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000389213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
409967Medicare ID - Type Unspecified
T31157Medicare UPIN