FAIRFAX NEONATAL ASSOCIATES, P.C. (NPI# 1699863308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699863308 |
Entity Type | Organization |
Organization Name | FAIRFAX NEONATAL ASSOCIATES, P.C. |
Other Organization Name | PEDIATRIC INFECTIOUS DISEASE GROUP |
Practice Address |
2730-c Prosperity Avenue Fairfax VA 22031 |
Practice Telephone | 7032262280 |
Practice Fax Number | 7037521713 |
Mailing Telephone | 7032262280 |
Mailing Fax Number | 7037521713 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2009-07-08 |
Authorized Official Name | DR. DANIEL EDWARD KEIM (PHYSICIAN) |
Authorized Official Telephone | 7032262280 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
0101033509 | VA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Pediatric Infectious Disease Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679819296 | Fairfax Neonatal Associates, P.C. | Pediatrics | 2730-d Prosperity Avenue, Fairfax, VA 22031 | 2012-12-31 |
1841461266 | Fairfax Neonatal Associates, P.C. | Pediatrics | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2008-03-13 |
Street Address |
2730-C PROSPERITY AVENUE |
City | FAIRFAX |
State | VA |
Zip Code | 22031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609248012 | Megan Dushek | Nurse Practitioner | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2015-10-25 |
1033432539 | Julie-ann M Crewalk | Pediatrics | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2010-03-11 |
1841461266 | Fairfax Neonatal Associates, P.C. | Pediatrics | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2008-03-13 |
1942390836 | Stephen S Kim | Surgery | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
Find all providers in zip 22031 |
Taxonomy Code | 2080P0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neurodevelopmental Disabilities |
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427361922 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Pediatrics | 5875 Bremo Rd, Mob South, Suite 303, Richmond, VA 23226-1934 | 2010-07-26 |
1194934596 | Alison Eleanor Alford | Pediatrics | 2500 Gaskins Rd, Suite B, Richmond, VA 23238-1480 | 2007-05-22 |
1184786428 | Virginia Child Neurology PC | Pediatrics | 5875 Bremo Rd, Suite 700, Richmond, VA 23226 | 2006-12-14 |
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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.