Healthcare Provider Details

I. General information

NPI: 1407829328
Provider Name (Legal Business Name): JOANNA G SHUMAN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PIDGEON HILL DR STE 280
STERLING VA
20165-6177
US

IV. Provider business mailing address

21475 RIDGETOP CIR SUITE 210
STERLING VA
20166-6580
US

V. Phone/Fax

Practice location:
  • Phone: 703-421-1900
  • Fax: 703-738-7268
Mailing address:
  • Phone: 703-421-1900
  • Fax: 703-433-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number0103300920
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0103300920
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0103300920
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: