FAIRFAX PULMONARY CONSULTING LLC


Address: 880 N Pollard St, #501, Arlington, VA 22203-1738
Phone: 7039579119

FAIRFAX PULMONARY CONSULTING LLC (NPI# 1124370093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124370093
Entity Type Organization
Organization Name FAIRFAX PULMONARY CONSULTING LLC
Practice Address 880 N Pollard St
#501
Arlington
VA 22203-1738
Practice Telephone 7039579119
Mailing Telephone 7039579119
Enumeration Date 2012-10-02
Last Update Date 2012-10-02
Authorized Official Name DR. JEFFREY ONEIL DIMITRY WILLIAMS (MEMBER)
Authorized Official Telephone 7039579119
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
0116019977 VA Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Fairfax Pulmonary Consulting LLC 880 N Pollard St, 501, Arlington, Virginia 22203

Office Location

Street Address 880 N POLLARD ST
#501
City ARLINGTON
State VA
Zip Code 22203-1738

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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982792420 Deborah Gofreed Internal Medicine 1005 N Glebe Rd # 705, Arlington, VA 22201-5718 2006-10-10
1275633745 Francis Eugene Tacka Internal Medicine 3148 Matlock Rd, Suite 505, Arlington, TX 76015-2923 2006-09-25
1689667917 Wilson Coudon Internal Medicine 1400 S Joyce St, Suite 126, Arlington, VA 22202-1872 2005-08-23
1144506692 Texas Health Care, P.l.l.c. Internal Medicine 301 Highlander Blvd., Suite 121, Arlington, TX 76014-0000 2011-10-28
1053699694 Yordanos Azene Habtegebriel Internal Medicine 3301 Matlock Rd, Arlington, TX 76015-2908 2011-08-01
1982912127 Francis E. Tacka D.o. P.a. Internal Medicine 3148 Matlock Rd, Suite 505, Arlington, TX 76015-2991 2010-09-22
1376619742 Richard F Sappington Jr. Internal Medicine 611 S Carlin Springs Rd, Suite 511, Arlington, VA 22204-1064 2006-11-28
1588690135 Genesis Eldercare Physician Services LLC Internal Medicine 1785 S Hayes St, Arlington, VA 22202 2006-06-24
1184617490 Steven Zimmet Internal Medicine 1400 S Joyce St, Suite 126, Arlington, VA 22202-1872 2005-08-23
1043203359 Lawrence Stein Internal Medicine 1400 S Joyce St, Suite 126, Arlington, VA 22202-1872 2005-08-23
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City ARLINGTON
Zip Code 22203

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Dataset Information

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.

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