RENAL CAREPARTNERS OF FAIRFAX, LLC (NPI# 1679559215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679559215 |
Entity Type | Organization |
Organization Name | RENAL CAREPARTNERS OF FAIRFAX, LLC |
Other Organization Name | U.S. RENAL CARE FAIRFAX DIALYSIS |
Practice Address |
3930 Walnut St Fairfax VA 22030-4738 |
Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
Practice Telephone | 7036917820 |
Practice Fax Number | 7036917824 |
Mailing Telephone | 8709315400 |
Mailing Fax Number | 8709315418 |
Enumeration Date | 2005-12-15 |
Last Update Date | 2014-07-21 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1679559215 | 05 |
Other Name | Type Code |
---|---|
U.S. Renal Care Fairfax Dialysis | Doing Business As Name - Organization |
Street Address |
3930 WALNUT ST |
City | FAIRFAX |
State | VA |
Zip Code | 22030-4738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518409804 | Omnispine Chiropractic & Rehab Clinic PC | Chiropractor | 3930 Walnut St, Suite 220, Fairfax, VA 22030-4738 | 2016-11-17 |
1306222047 | Finally Hear LLC | Hearing Aid Equipment | 3930 Walnut St, Ste 240, Fairfax, VA 22030-4738 | 2015-08-05 |
1467850024 | Maria Obeid | Nurse Practitioner | 3930 Walnut St, Suite 220, Fairfax, VA 22030-4738 | 2014-12-15 |
1033462361 | Chang Ha Lee | Chiropractor | 3930 Walnut St, Suite 220, Fairfax, VA 22030-4738 | 2012-10-24 |
1285912857 | Caroline Kwon | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2011-07-29 |
1568770659 | Nova Internal Medicine Associates PC | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2010-09-22 |
1851543409 | Venkateswer R Addanki | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2008-10-15 |
1043471949 | Rheumatology and Internal Medicine, PC | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2008-06-23 |
1306025382 | Anu N. Ralapati, Md PC | Internal Medicine | 3930 Walnut St, Fairfax, VA 22030-4738 | 2007-10-26 |
1386740678 | Anuradha Neelam Reddy | Internal Medicine | 3930 Walnut St, #101, Fairfax, VA 22030-4738 | 2006-09-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427534072 | Legacy Dialysis of Fairfax LLC | Clinic/Center | 10565 Fairfax Blvd Ste 205, Fairfax, VA 22030-3104 | 2018-07-17 |
1669576534 | Bio-medical Applications of Virginia Inc | Clinic/Center | 8316 Arlington Blvd Ste 108, Fairfax, VA 22031-5216 | 2006-09-12 |
1346204575 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 3955 Pender Dr, Suite 110, Fairfax, VA 22030-6091 | 2006-04-14 |
1073575171 | Dva Healthcare Renal Care Inc | Clinic/Center | 1241 Boundry St W, Fairfax, SC 29827-3611 | 2006-04-04 |
1255395158 | Total Renal Care Inc | Clinic/Center | 8501 Arlington Blvd, Ste 100, Fairfax, VA 22031-4625 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497363253 | Fresenius Medical Care Kempsville Home, LLC | Clinic/Center | 6161 Kempsville Cir Ste B, Norfolk, VA 23502-3932 | 2020-07-17 |
1760004360 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 | 2020-05-18 |
1871113746 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 165 Market St Ste 6, Onancock, VA 23417-4233 | 2020-04-21 |
1447889399 | Legacy Dialysis of Virginia | Clinic/Center | 211 Gibson St Nw Ste 209, Leesburg, VA 20176-2115 | 2020-04-03 |
1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
1306492848 | Renal Treatment Centers- Mid-atlantic, Inc. | Clinic/Center | 145 Holt Garrison Pkwy Ste 340, Danville, VA 24540-5956 | 2019-08-12 |
1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
1811454226 | Mohansic Dialysis, LLC | Clinic/Center | 8123 Richmond Hwy, Alexandria, VA 22309-3613 | 2019-02-22 |
1720552110 | Shawano Dialysis, LLC | Clinic/Center | 13859 Village Place Dr, Midlothian, VA 23114-3503 | 2019-01-18 |
1528533171 | Gansett Dialysis, LLC | Clinic/Center | 8605 Westwood Center Dr Ste 100, Vienna, VA 22182-2231 | 2018-10-10 |
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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.