FAIRFAX RADIOLOGICAL CONSULTANTS PC (NPI# 1568649424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568649424 |
| Entity Type | Organization |
| Organization Name | FAIRFAX RADIOLOGICAL CONSULTANTS PC |
| Practice Address |
224 Cornwall St Nw Leesburg VA 20176-2701 |
| Mailing Address |
2722 Merrilee Dr Ste 230 Fairfax VA 22031-4400 |
| Practice Telephone | 7036984483 |
| Practice Fax Number | 7035730880 |
| Mailing Telephone | 7036984483 |
| Mailing Fax Number | 7035730888 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | BILL F ALLISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7036984483 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAIRFAX RADIOLOGICAL CONSULTANTS PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 180647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
| 1841476744 | Fairfax Radiological Consultants PC | Specialist | 24801 Pinebrook Rd, Ste 120, Chantilly, VA 20152-4112 | 2008-01-10 |
| 1467885228 | Fairfax Radiological Consultants PC | Clinic/Center | 3801 University Dr, Ste 120, Fairfax, VA 22030-2503 | 2013-08-15 |
| 1396915823 | Fairfax Radiological Consultants PC | Specialist | 8503 Arlington Blvd, Ste Ll100, Fairfax, VA 22031-4628 | 2008-03-12 |
| 1518137215 | Fairfax Radiological Consultants PC | Specialist | 11901 Baron Cameron Ave, Reston, VA 20190-5892 | 2008-03-10 |
| 1235309931 | Fairfax Radiological Consultants PC | Specialist | 4315 Chain Bridge Rd, Fairfax, VA 22030-3061 | 2008-03-10 |
| 1073783759 | Fairfax Radiological Consultants PC | Specialist | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-03-10 |
| 1720265689 | Fairfax Radiological Consultants PC | Specialist | 8503 Arlington Blvd, Ste Ll100, Fairfax, VA 22031-4628 | 2008-01-23 |
| 1225215197 | Fairfax Radiological Consultants PC | Specialist | 8503 Arlington Blvd, Suite Ll100, Fairfax, VA 22031-4628 | 2008-01-23 |
| 1104003060 | Fairfax Radiological Consultants PC | Specialist | 8318 Arlington Blvd, Ste 200, Fairfax, VA 22031-5218 | 2008-01-23 |
| Street Address |
224 CORNWALL ST NW |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405662 | Dolores Steinglass | Registered Nurse | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2005-05-27 |
| 1932506821 | Orthotic Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 224 Cornwall St Nw, Cornwall Pavilion Building 224-d Suite 200b, Leesburg, VA 20176-2701 | 2014-11-21 |
| 1811204050 | Inova Physician Partners, Inc. - Specialists | Orthopaedic Surgery | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2010-09-09 |
| 1326203704 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 224 Cornwall St Nw, Suite 101, Leesburg, VA 20176-2701 | 2008-07-24 |
| 1669631297 | Canyonlands Dialysis LLC | Clinic/Center | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-06-09 |
| 1073783759 | Fairfax Radiological Consultants PC | Specialist | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-03-10 |
| 1245370550 | Lisa Marie Boris | Nurse Practitioner | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-02-07 |
| 1285786228 | Inova Health Care Services | Psychiatric Unit | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-01-18 |
| 1457409633 | Page Moss Fletcher Md PC | Psychiatry & Neurology | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-01-06 |
| 1184611675 | Debra D Dever | Registered Nurse | 224 Cornwall St Nw, A, Leesburg, VA 20176-2701 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1063967149 | Tri-county Heart Institute Pa | Specialist | 5545 Windsong Oak Dr, Leesburg, FL 34748-7788 | 2016-08-18 |
| 1184093577 | Breast Reconstruction Specialists LLC | Specialist | 224-cornwall Street, Nw, Suite 300, Leesburg, VA 20176-2704 | 2015-09-16 |
| 1649592460 | Allison T. Shorb | Specialist | 217 S King St, Leesburg, VA 20175-2905 | 2010-02-20 |
| 1578899555 | William Barton Mahan | Specialist | 10601 Us Highway 441 Ste E1, Leesburg, FL 34788-7240 | 2009-10-26 |
| 1255527719 | Eze D. Uche, M.d., Pa | Specialist | 4646 Via Del Medico, Leesburg, FL 34748-6995 | 2007-09-19 |
| 1083742571 | Hear Care Inc | Specialist | 1108 W Dixie Ave, Leesburg, FL 34748-6312 | 2007-02-28 |
| 1700958600 | Lake Neurology Clinic, P.a. | Specialist | 608 S 9th Street, Ste A, Leesburg, FL 34748 | 2006-11-15 |
| 1134238140 | Pascual Herrera Jr. | Specialist | 215 Industrial Blouvard, Leesburg, AL 35983 | 2006-08-30 |
| 1578676953 | Alex Marin Uson | Specialist | 1039 W Dixie Ave, Leesburg, FL 34748-6349 | 2006-08-17 |
| Find all providers in LEESBURG | ||||
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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.