FAIRFAX RADIOLOGICAL CONSULTANTS PC (NPI# 1689850554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689850554 |
Entity Type | Organization |
Organization Name | FAIRFAX RADIOLOGICAL CONSULTANTS PC |
Practice Address |
3299 Woodburn Rd Suite 110 Annandale VA 22003-1275 |
Mailing Address |
2722 Merrilee Dr Suite 230 Fairfax VA 22031-4400 |
Practice Telephone | 7036984483 |
Practice Fax Number | 7035730880 |
Mailing Telephone | 7036984483 |
Mailing Fax Number | 7035730880 |
Enumeration Date | 2008-01-10 |
Last Update Date | 2010-09-20 |
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 |
---|---|---|---|---|---|
N | 174400000X | Specialist | Other Service Providers | ||
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM BCBS | 033140 | 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 |
1568649424 | Fairfax Radiological Consultants PC | Specialist | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-01-23 |
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 |
Street Address |
3299 WOODBURN RD SUITE 110 |
City | ANNANDALE |
State | VA |
Zip Code | 22003-1275 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073519146 | John Douglas Wooddell | Dentist | 3299 Woodburn Rd, Ste 440, Annandale, VA 22003-7329 | 2005-06-23 |
1962904987 | Sleepmed, Inc. | Clinic/Center | 3299 Woodburn Rd, Annandale, VA 22003 | 2018-03-06 |
1669845715 | Elizabeth Marian Lewis | Nurse Practitioner | 3299 Woodburn Rd, Suite 230, Annandale, VA 22003-1275 | 2015-11-10 |
1467838748 | Andrew Mann | Physical Therapist | 3299 Woodburn Rd, Suite 310, Annandale, VA 22003-1275 | 2015-08-10 |
1558641050 | Gail J Freeman | Nurse Practitioner | 3299 Woodburn Rd, Suite 480, Annandale, VA 22003-1275 | 2011-08-29 |
1487981049 | Meghan Bates | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2009-11-03 |
1215173208 | Kathy E. Wolf, M.d., P.C. | Obstetrics & Gynecology | 3299 Woodburn Rd, Suite 350, Annandale, VA 22003-1275 | 2008-12-23 |
1528211240 | John D. Doppelheuer M.d. PC | Specialist | 3299 Woodburn Rd, Suite 370, Annandale, VA 22003-1275 | 2008-10-25 |
1265607733 | Justine H Kraus | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2008-04-25 |
1487826491 | Anne M Nickodem | Plastic Surgery | 3299 Woodburn Rd, Suite 340, Annandale, VA 22003-1275 | 2008-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
Find all providers in zip 22003 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447225107 | Hunterdon Radiological Associates, P.a. | Clinic/Center | 1 Dogwood Dr, Annandale, NJ 08801-3101 | 2006-02-17 |
1588639884 | Hunterdon Imaging, P.a. | Clinic/Center | 1 Dogwood Dr, Lower Level, Annandale, NJ 08801-3101 | 2006-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346898897 | Viva Richmond LLC | Clinic/Center | 6600 W Broad St Ste 200b, Richmond, VA 23230-1709 | 2019-08-28 |
1699328500 | Fairfax Radiological Consultants PC | Clinic/Center | 8260 Willow Oaks Corporate Dr Ste 200, Fairfax, VA 22031-4515 | 2019-07-19 |
1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
1982995296 | Grafton Ct Imaging LLC | Clinic/Center | 4030 George Washington Mem Hwy Ste A, Grafton, VA 23692-2619 | 2011-04-21 |
1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
1801946090 | Patient First Ct, LLC | Clinic/Center | 8247 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2007-01-11 |
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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.