Provider Demographics
NPI:1255391231
Name:ARMINIO, GARY J (DPM)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:ARMINIO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5631 BURKE CENTRE PKWY
Mailing Address - Street 2:SUITE K
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2234
Mailing Address - Country:US
Mailing Address - Phone:703-250-2904
Mailing Address - Fax:703-280-2939
Practice Address - Street 1:5631 BURKE CENTRE PARKWAY
Practice Address - Street 2:SUITE K
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2234
Practice Address - Country:US
Practice Address - Phone:703-250-2904
Practice Address - Fax:703-280-2939
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103000622213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2035487OtherAETNA
VA223294OtherMDIPA
VA541796525OtherUNITEDHEALTHCARE
VA2382743OtherAETNA HMO
VA480026207OtherRAILROAD MEDICARE GROUP MEMBER
VA504746OtherNCPPO
VADN0667OtherRAILROAD MEDICARE GROUP
VA290564OtherBLUECROSSBLUESHIELD VA
VA6659OtherBLUECROSSBLUESHIELD FEP
VADN0667OtherRAILROAD MEDICARE GROUP
VA6659OtherBLUECROSSBLUESHIELD FEP
VA5473070001Medicare NSC