Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0101227061 | VA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0101227061 | VA |
NPI | 1790778389 |
---|---|
Provider Name | Dr. Christopher Scott Highfill |
First Address | Manassas Park, VA 20111-3072 |
Second Address | Manassas, VA 20110-4425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006401201 | (05) | VA |
176914 | ANTHEM (01) | |
2357733 | AETNA HMO (01) | |
7957069 | AETNA (01) | |
AMERIGROUP | 76794 (01) | |
G98193 | (02) | VA |