Laurence R O Halloran (NPI# 1023007044, PAC ID# 4486552692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1023007044 |
| PAC ID by PECOS | 4486552692 |
| Professional Enrollment ID | I20081218000545 |
| Full Name | Laurence R O Halloran |
| Organization Legal Name | FAIRFAX ENT AND FACIAL PLASTIC SURGERY PC |
| Address |
8120 Gatehouse Rd Fl 3 Falls Church VA 22042-1204 |
| Phone Number | 7035733687 |
| Gender | M |
| Medical School | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3678471885 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 | 7035733687 | FAIRFAX ENT AND FACIAL PLASTIC SURGERY PC |
| Organization Legal Name | FAIRFAX ENT AND FACIAL PLASTIC SURGERY PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah J Blank | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Timothy J Egan | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Antonio J Cachay | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Eugenia Marino | Qualified Audiologist | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Heinz He Scheidemandel | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Street Address |
8120 GATEHOUSE RD FL 3 |
| City | FALLS CHURCH |
| State | VA |
| Zip | 22042-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah J Blank | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Timothy J Egan | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Antonio J Cachay | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Eugenia Marino | Qualified Audiologist | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Heinz He Scheidemandel | Otolaryngology | Fairfax Ent and Facial Plastic Surgery PC | 8120 Gatehouse Rd, Fl 3, Falls Church, VA 22042-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elham Quraishi | Optometry | May and Hettler Od PC | 8112 Arlington Blvd, Falls Church, VA 22042-1002 |
| Patricia A Clubb | Optometry | May and Hettler Od PC | 8112 Arlington Blvd, Falls Church, VA 22042-1002 |
| Kiren M Dayal | Family Medicine | 8191 Strawberry Ln, Suite 6, Falls Church, VA 22042-1032 | |
| Jeffrey Scheidlinger | Anesthesiology | American Anesthesiology of Virginia, PC | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Jack A Stabile | Anesthesiology | American Anesthesiology of Virginia, PC | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Alan M Speir | Thoracic Surgery | Inova Health Care Services | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Richard Neville | Vascular Surgery | Inova Health Care Services | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Zhao Yang | Anesthesiology | American Anesthesiology of Virginia, PC | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Pamela A Crippen | Nurse Practitioner | Inova Health Care Services | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Mitchell D Tobias | Anesthesiology | American Anesthesiology of Virginia, PC | 2921 Telestar Ct, Falls Church, VA 22042-1205 |
| Find all physicians in zip 22042 | |||
| City | FALLS CHURCH |
| Zip Code | 22042 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FALLS CHURCH + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Laurence R O Halloran.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.