FAIRFAX OB-GYN ASSOCIATES, INC. (NPI# 1891983953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891983953 |
| Entity Type | Organization |
| Organization Name | FAIRFAX OB-GYN ASSOCIATES, INC. |
| Practice Address |
3650 Joseph Siewick Dr Suite 203 Fairfax VA 22033-1710 |
| Mailing Address |
2028 Opitz Blvd Ste 1 Woodbridge VA 22191-3326 |
| Practice Telephone | 7033911500 |
| Practice Fax Number | 7038601549 |
| Mailing Telephone | 7036902295 |
| Mailing Fax Number | 7036906445 |
| Enumeration Date | 2007-10-13 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | LISA SHAH (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2028991055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 171594 | 05 |
| Street Address |
3650 JOSEPH SIEWICK DR SUITE 203 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596692 | Noemi S. Dosova | Pediatrics | 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 | 2005-05-24 |
| 1215546395 | Ryan Lawson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-07-24 |
| 1043842503 | Shereen A Robinson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-02-12 |
| 1700373982 | Brenda D Carpenter | Pharmacist | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2018-04-13 |
| 1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1407209307 | Tara Lynne Kiser | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-07-15 |
| 1003266552 | Thuy Phuong Thi Vo | Family Medicine | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-06-15 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1104230929 | Clare Gosek | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103592 | Premier Ob/gyn Associates LLC | Obstetrics & Gynecology | 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 | 2018-05-09 |
| 1215439526 | Women's Choice Obgyn LLC | Obstetrics & Gynecology | 10875 Main St Ste 210, Fairfax, VA 22030-4732 | 2018-03-02 |
| 1871019323 | Ntmt Group | Obstetrics & Gynecology | 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 | 2017-08-16 |
| 1750731063 | Rachel Bridge | Obstetrics & Gynecology | 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 | 2016-06-16 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1609147115 | Mitra Zameni | Obstetrics & Gynecology | 10875 Main Street Suit 210, Fairfax, VA 22030 | 2012-01-16 |
| 1891951802 | Ankit Shah | Obstetrics & Gynecology | 3020 Hamaker Ct Ste 501, Fairfax, VA 22031-2220 | 2008-07-30 |
| 1659555431 | Womens Health Associates P.C. | Obstetrics & Gynecology | 3020 Hamaker Ct Ste B105, Fairfax, VA 22031-2236 | 2007-12-28 |
| 1477751030 | Karen R Maser Md LLC | Obstetrics & Gynecology | 8505 Arlington Blvd #410, Fairfax, VA 22031 | 2007-07-05 |
| 1386840791 | Northern Virginia Obgyn Associates, Ltd. | Obstetrics & Gynecology | 8316 Arlington Boulevard, Suite 420, Fairfax, VA 22031-5216 | 2007-06-22 |
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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.