FAIRFAX FAMILY PRACTICE CENTERS PC (NPI# 1184748360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184748360 |
| Entity Type | Organization |
| Organization Name | FAIRFAX FAMILY PRACTICE CENTERS PC |
| Other Organization Name | BROADLANDS FAMILY PRACTICE |
| Practice Address |
20905 Professional Plaza Suite 330 Ashburn VA 20147 |
| Mailing Address |
Po Box 791128 Baltimore MD 21279-1128 |
| Practice Telephone | 7037260003 |
| Practice Fax Number | 7037266444 |
| Mailing Telephone | 7037260003 |
| Mailing Fax Number | 7037266444 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-12-27 |
| 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 |
|---|---|
| Broadlands Family Practice | 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 |
| 1013032283 | Fairfax Family Practice Centers PC | Family Medicine | 115 Park Street, Suite 300, Vienna, VA 22180 | 2007-03-20 |
| 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 |
| 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 |
20905 PROFESSIONAL PLAZA SUITE 330 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215991948 | Mary R Renard | Family Medicine | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2006-04-12 |
| 1487958625 | Kristin L Fuller | Physician Assistant | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2011-01-03 |
| 1336342195 | Sangeeta Reddy Chitlu | Psychiatry & Neurology | 20905 Professional Plaza, Suite #220, Ashburn, VA 20147 | 2007-06-08 |
| 1770627895 | Amy Sinha | Family Medicine | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2007-02-20 |
| 1609945179 | Deirdre Woolsey Ellis | Physician Assistant | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2006-11-07 |
| 1457440695 | Lisa J Spielman | Counselor | 20905 Professional Plaza, Suite 220, Ashburn, VA 20147 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| 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 |
|---|---|---|---|---|
| 1235540162 | Danny Nguyen | Family Medicine | 22505 Landmark Ct Ste 210, Ashburn, VA 20148-6502 | 2014-05-13 |
| 1790888162 | Shilpa H Amin | Family Medicine | Belmont Country Club, Village of Baltrusol, 19756 Estancia Terrace, Ashburn, VA 20147 | 2006-09-07 |
| 1821107764 | Ashburn Medical Center PC | Family Medicine | 42882 Truro Parish Drive, Suite 201 Ashburn Medical Center PC, Ashburn, VA 20148 | 2006-08-30 |
| 1326056045 | Thomas Francis Morris | Family Medicine | 21170 Ashby Ponds Blvd, Ashburn, VA 20147-6128 | 2006-08-05 |
| 1609891316 | Neeta Goel | Family Medicine | 44095 Pipeline Plz, Ste 370, Ashburn, VA 20147-5898 | 2006-07-13 |
| 1508899907 | Patrina Lockette | Family Medicine | 354 E. Washington Ave., Ashburn, GA 31714-5222 | 2006-07-09 |
| 1215991948 | Mary R Renard | Family Medicine | 20905 Professional Plaza, Suite 330, Ashburn, VA 20147 | 2006-04-12 |
| 1174508055 | Earl A Lorenzen | Family Medicine | 354 E Washington Ave, Ashburn, GA 31714-5222 | 2005-12-13 |
| 1063042562 | Tift Regional Health System Inc | Family Medicine | 611 E Washington Ave, Ashburn, GA 31714-5315 | 2020-01-23 |
| 1861894222 | Capital Family Medicine Plc. | Family Medicine | 20925 Professional Plz, Suite 310, Ashburn, VA 20147-3403 | 2014-09-17 |
| Find all providers in ASHBURN | ||||
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| 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.