Colleen A Kennedy (NPI# 1821190679, PAC ID# 8022903962) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1821190679 |
| PAC ID by PECOS | 8022903962 |
| Professional Enrollment ID | I20110223001032 |
| Full Name | Colleen A Kennedy |
| Organization Legal Name | FAIRFAX ORTHOPAEDICS, PLLC |
| Address |
3301 Woodburn Rd Suite 208 Annandale VA 22003-1200 |
| Phone Number | 7035609495 |
| Gender | F |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335034271 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | 7035609495 | FAIRFAX ORTHOPAEDICS, PLLC |
| 3301 Woodburn Rd, Annandale, VA 22003-1200 | 7035609495 | FAIRFAX ORTHOPAEDICS, PLLC |
| Organization Legal Name | FAIRFAX ORTHOPAEDICS, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| Street Address |
3301 WOODBURN RD SUITE 208 |
| City | ANNANDALE |
| State | VA |
| Zip | 22003-1200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qiong Zhao | Cardiovascular Disease (cardiology) | Inova Health Care Services | 3301 Woodburn Rd, Suite 301, Annandale, VA 22003-1294 |
| Stafford S Goldstein | Gastroenterology | Advanced Digestive Care LLC | 3301 Woodburn Rd, Suite 107, Annandale, VA 22003-1297 |
| Wendy Roberts | Nurse Practitioner | Loudoun Medical Group PC | 3301 Woodburn Rd, Suite 309, Annandale, VA 22003-7308 |
| Muhammad Wesam Silk | Ophthalmology | Silk Vision and Surgical Center | 3301 Woodburn Rd, Suite 308, Annandale, VA 22003-1229 |
| Robert M Gorsen | Neurosurgery | 3301 Woodburn Rd, Suite 211, Annandale, VA 22003-7305 | |
| Mary N Smith | Obstetrics/gynecology | Loudoun Medical Group PC | 3301 Woodburn Rd, Suite 309, Annandale, VA 22003-7308 |
| Christopher A Reneau | Nurse Practitioner | Virginia Surgery Associates PC | 3301 Woodburn Rd, Suite 304, Annandale, VA 22003-1289 |
| Jennifer M Merkel | Physical Therapy | 3301 Woodburn Rd, Suite 205, Annandale, VA 22003-7309 | |
| Felix D Castro | Internal Medicine | Inova Health Care Services | 3301 Woodburn Rd, Suite 301, Annandale, VA 22003-1294 |
| Kathleen M Cleland | General Surgery | Virginia Surgery Associates PC | 3301 Woodburn Rd, Suite 304, Annandale, VA 22003-1289 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Cassidy | Orthopedic Surgery | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 | |
| Samuel Hawken | Orthopedic Surgery | Fairfax Orthopaedics, Pllc | 3301 Woodburn Rd, Suite 208, Annandale, VA 22003-1200 |
| John K Wilson | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Sean C Graham | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan D Campbell | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Megan M Oconnor | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Navdeep K Dhaliwal | Psychiatry | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Anna G Davis | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Susan M Dempsey Lyle | Clinical Nurse Specialist | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Christopher D Barrows | Clinical Social Worker | Mental Health Services | 3300 Woodburn Rd, Annandale, VA 22003-1202 |
| Find all physicians in zip 22003 | |||
| City | ANNANDALE |
| Zip Code | 22003 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ANNANDALE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Colleen A Kennedy.
| 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.