INOVA FAIRFAX HOSPITAL (NPI# 1356501753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356501753 |
| Entity Type | Organization |
| Organization Name | INOVA FAIRFAX HOSPITAL |
| Practice Address |
3300 Gallows Rd Department of Pediatrics Falls Church VA 22042-3307 |
| Mailing Address |
1504 Lincoln Way Unit 118 Mc Lean VA 22102-5851 |
| Practice Telephone | 7037767834 |
| Mailing Telephone | 9175754718 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DR. NATALIE REBECCA SHILO (RESIDENT) |
| Authorized Official Telephone | 9175754718 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 0116018750 | VA | Ambulatory Health Care Facilities |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0116018750 | VA | Hospitals |
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
0116018750 | VA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750622049 | Inova Fairfax Hospital | General Acute Care Hospital | 2150 Stone Mill Dr, Salem, VA 24153-4667 | 2013-03-11 |
| 1417317181 | Inova Fairfax Hospital | General Acute Care Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2016-02-24 |
| 1366744062 | Inova Fairfax Hospital | General Acute Care Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2010-12-01 |
| 1619133295 | Inova Fairfax Hospital | General Acute Care Hospital | 3650 Joseph Siewick Dr, Suite 4th Floor, Fairfax, VA 22033-1710 | 2008-08-01 |
| 1427227578 | Inova Fairfax Hospital | Psychiatric Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-02-22 |
| 1578693321 | Inova Fairfax Hospital | General Acute Care Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2007-03-07 |
| 1770626038 | Inova Fairfax Hospital | General Acute Care Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2007-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INOVA FAIRFAX HOSPITAL | 8110 Gatehouse Rd Ste 200e, Falls Church, VA 22042-1210 |
| Street Address |
3300 GALLOWS RD DEPARTMENT OF PEDIATRICS |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177942 | Bestpractices, Inc. | Emergency Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2005-07-11 |
| 1659971216 | Mahsa Roohani | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-31 |
| 1861092330 | Jessica Merberg | Genetic Counselor, MS | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-26 |
| 1366042780 | Kirsten Smith | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-26 |
| 1629677026 | Laurie Brutus | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-19 |
| 1184223539 | Mirnesa Tikvina | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-17 |
| 1073111779 | Kirsten Kadlec | Nurse Anesthetist, Certified Registered | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2020-10-14 |
| 1114525953 | Jennifer Yung | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-14 |
| 1720685522 | Laura Musser | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-10-05 |
| 1154938926 | Heather Elizabeth Carvalho | Nurse Practitioner | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649437666 | Inova Fairfax Hospital for Children | General Acute Care Hospital | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258589 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2006-05-03 |
| 1306983895 | Crippled Children's Hospital | General Acute Care Hospital | 2924 Brook Rd, Richmond, VA 23220-1215 | 2007-01-31 |
| 1982789426 | Naval Medical Center Portsmouth | General Acute Care Hospital | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2006-10-25 |
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on INOVA FAIRFAX HOSPITAL.
| 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.