| Mountain Spring Podiatry | |
|
550 Broadview Ave Ste 102 Warrenton VA 20186-2036 | |
| (888) 628-8272 | |
| Not Available |
| Full Name | Mountain Spring Podiatry |
|---|---|
| Speciality | Radiology |
| Location | 550 Broadview Ave Ste 102, Warrenton, Virginia |
| Authorized Official Name and Position | Salman Mufti (OWNER) |
| Authorized Official Contact | 8886288272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Spring Podiatry 550 Broadview Ave Ste 102 Warrenton VA 20186-2036 Ph: (888) 628-8272 | Mountain Spring Podiatry 550 Broadview Ave Ste 102 Warrenton VA 20186-2036 Ph: (888) 628-8272 |
| NPI Number | 1639770621 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Medicare PECOS PAC ID | 2062826316 |
|---|---|
| Medicare Enrollment ID | O20210127001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639770621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | () | Primary |
| 213E00000X | Podiatrist | () | Secondary |
| Provider Name | Carol F Benson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518917996 PECOS PAC ID: 5496742447 Enrollment ID: I20040429001454 |
| Provider Name | Tiffany Wormuth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992727416 PECOS PAC ID: 6901865195 Enrollment ID: I20041004001028 |
| Provider Name | Salman S Mufti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649205683 PECOS PAC ID: 0345211025 Enrollment ID: I20041230000084 |
| Provider Name | Charles Christopher Nicholas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124083100 PECOS PAC ID: 4789692831 Enrollment ID: I20060330000566 |
| Provider Name | Jay Varma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174513709 PECOS PAC ID: 4981601291 Enrollment ID: I20070130000761 |
| Provider Name | Shivani D Doctor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154400091 PECOS PAC ID: 5193829620 Enrollment ID: I20070322000402 |
| Provider Name | Deepak Deshmukh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942224522 PECOS PAC ID: 0749355584 Enrollment ID: I20080813000774 |
| Provider Name | Fredrick N Southern |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154381333 PECOS PAC ID: 3971791260 Enrollment ID: I20101230001010 |
| Provider Name | Daria M Piotrowski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508186370 PECOS PAC ID: 0840474987 Enrollment ID: I20110413000974 |
| Provider Name | Naurie Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730158874 PECOS PAC ID: 6204045602 Enrollment ID: I20120525000504 |
| Provider Name | Robert David Tupper |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700854130 PECOS PAC ID: 7810106705 Enrollment ID: I20130517000518 |
| Provider Name | Katrina Renae Stotts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457735896 PECOS PAC ID: 9335442854 Enrollment ID: I20160115002087 |
| Provider Name | Paul Butros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316142029 PECOS PAC ID: 8820253263 Enrollment ID: I20160921001987 |
| Provider Name | Lauren Alyce Shouldis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689015463 PECOS PAC ID: 9931488707 Enrollment ID: I20161118000116 |
| Provider Name | Jon D Houseworth |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932456001 PECOS PAC ID: 8729380712 Enrollment ID: I20190822002952 |
| Provider Name | Kevin David Rabie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245694488 PECOS PAC ID: 7810326527 Enrollment ID: I20200401000652 |
| Provider Name | Brandon Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760074660 PECOS PAC ID: 3476969213 Enrollment ID: I20210303000493 |
| Provider Name | Renny Stocum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700096583 PECOS PAC ID: 3779896972 Enrollment ID: I20210813001294 |
| Provider Name | Tierra Latrice Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619572153 PECOS PAC ID: 4183022882 Enrollment ID: I20211011002332 |
| Provider Name | Shailraj Parikh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619389533 PECOS PAC ID: 8921343443 Enrollment ID: I20211015000418 |
| Provider Name | Khushboo Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699303933 PECOS PAC ID: 3375933468 Enrollment ID: I20230210001473 |
| Provider Name | Dylan John Jamieson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710491766 PECOS PAC ID: 9133507635 Enrollment ID: I20230601001915 |
| Provider Name | Gina Ann Zigerelli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164912358 PECOS PAC ID: 2769731553 Enrollment ID: I20241022003376 |
| Provider Name | Husang David Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487237053 PECOS PAC ID: 1456885474 Enrollment ID: I20241114000026 |
| Provider Name | Simran Mehta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659105906 PECOS PAC ID: 0446785752 Enrollment ID: I20241122004338 |
| Provider Name | Niloy Dasgupta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215170972 PECOS PAC ID: 0446544894 Enrollment ID: I20250426000102 |
| Provider Name | Gia Noelle Candelieri-marcari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881220762 PECOS PAC ID: 3274954409 Enrollment ID: I20250609002503 |
| Provider Name | Jason Albanese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437045622 PECOS PAC ID: 9133628167 Enrollment ID: I20250818001395 |
| Provider Name | Hunter Gagnon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225823198 PECOS PAC ID: 6507365236 Enrollment ID: I20250819002121 |
| Provider Name | Alysha Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336903806 PECOS PAC ID: 1355843533 Enrollment ID: I20250906000440 |
| Provider Name | Goran Tesic |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174802334 PECOS PAC ID: 4082962741 Enrollment ID: I20260224001208 |
| Provider Name | Venita Lynn Cucurella Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508541343 PECOS PAC ID: 2961970884 Enrollment ID: I20260508000161 |
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