FAIRFAX FAMILY PRACTICE CENTERS PC (NPI# 1013032283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013032283 |
| Entity Type | Organization |
| Organization Name | FAIRFAX FAMILY PRACTICE CENTERS PC |
| Other Organization Name | VIENNA FAMILY MEDICINE |
| Practice Address |
115 Park Street Suite 300 Vienna VA 22180 |
| Mailing Address |
Po Box 791128 Baltimore MD 21279-1128 |
| Practice Telephone | 7032559100 |
| Practice Fax Number | 7032553457 |
| Mailing Telephone | 7032559100 |
| Mailing Fax Number | 7032553457 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | JAMES P JENKINS (PRESIDENT) |
| Authorized Official Telephone | 7032559100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRFAX FAMILY PRACTICE CENTERS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vienna Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871762849 | Fairfax Family Practice Centers PC | Family Medicine | 22895 Brambleton Place, Suite 200, Brambleton, VA 20148 | 2008-02-25 |
| 1588788764 | Fairfax Family Practice Centers PC | Family Medicine | 8078 Crescent Park Drive, Suite 201, Gainesville, VA 20155 | 2007-03-16 |
| 1083838072 | Fairfax Family Practice Centers PC | Family Medicine | 8988 Lorton Station Blvd, Suite 201, Lorton, VA 22079 | 2007-04-12 |
| 1639296254 | Fairfax Family Practice Centers PC | Family Medicine | 3650 Joseph Siewick Drive, Suite 400, Fairfax, VA 22033 | 2007-03-26 |
| 1316062581 | Fairfax Family Practice Centers PC | Family Medicine | 555 Herndon Parkway, Suite 100, Herndon, VA 20170-4828 | 2007-03-20 |
| 1417071697 | Fairfax Family Practice Centers PC | Family Medicine | 12110 Sunset Hills Road, Lower Level 20, Reston, VA 20190 | 2007-03-16 |
| 1184748360 | Fairfax Family Practice Centers PC | Family Medicine | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2007-03-16 |
| 1528182706 | Fairfax Family Practice Centers PC | Family Medicine | 4080 Lafayette Center Drive, Suite 170 Lafayette One Business Park, Chantilly, VA 20151 | 2007-03-16 |
| Street Address |
115 PARK STREET SUITE 300 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759903 | Healing Hands Medical Center | Family Medicine | 1964 Gallows Rd Ste 300, Vienna, VA 22182-3814 | 2020-04-22 |
| 1003264730 | Anh Truong | Family Medicine | 115 Park St Se Ste 300, Vienna, VA 22180-4653 | 2016-06-03 |
| 1194136986 | Kimaya M Vaidya | Family Medicine | 2671 Avenir Pl Ste B, Vienna, VA 22180-7485 | 2014-05-14 |
| 1780815738 | Saira Thompson | Family Medicine | 2671 Avenir Pl, Vienna, VA 22180-7485 | 2009-08-06 |
| 1013144419 | Eric M Thomson | Family Medicine | 115 Park Street Se, Suite 300, Vienna, VA 22180 | 2009-06-12 |
| 1942412333 | Lynese L Lawson | Family Medicine | 2104 Gallows Rd, Vienna, VA 22182-3929 | 2007-05-05 |
| 1184848004 | Barnett G Mennen | Family Medicine | 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 | 2007-04-12 |
| 1609911601 | Fakhria Masumi Khorrami | Family Medicine | 180 Maple Ave W, Vienna, VA 22180-5727 | 2007-02-20 |
| 1700942711 | Homaira Behsudi-wali | Family Medicine | 1608 Spring Hill Rd, Emergency Usa Family Medical Center, Vienna, VA 22182 | 2006-12-28 |
| 1639245368 | Keith Edward Segall | Family Medicine | 111 Parkway, Vienna, MO 65582-8003 | 2006-11-27 |
| Find all providers in VIENNA | ||||
Please comment or provide details below to improve the information on FAIRFAX FAMILY PRACTICE CENTERS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.