Tackle Management Corporation
NPI 1831212067ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Manassas, VA
Podiatrist, Foot & Ankle Surgery in Manassas, Virginia, registered in NPPES in April 2007, part of Tackle Management Corporation. The authorized official on file is Theresa Lynn Coates, Practice Administrator.
Overview
| NPI | 1831212067 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tackle Management Corporation |
| NPI issued | Apr 10, 2007 |
| Last updated in NPPES | Jul 31, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | 0103000741 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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