Fair Oaks Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAIR OAKS INTERNAL MEDICINE

Practice address

10721 Main St
#1500
Fairfax, VA 22030-6914

Phone

(703) 218-2970

Fax

(703) 218-2965

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John J Mathews Jr., MDNPI 1215963129

Title

MD

Phone

(703) 218-2970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Mathews Jr.

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1215963129

  Internal Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1013087394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "#1500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-218-2970",
            "fax_number": "703-218-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "#1500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-218-2970",
            "fax_number": "703-218-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-218-2970",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Lakes Family and Cosmetic Dentistry
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• Fair Oaks Hospitalist Physicians, PLLC
• Fair Oaks Imaging Center, PC
• Fair Oaks Medical Care Inc.
• Fair Oaks Ortho, PLLC
• Fair Oaks Ortho, PLLC
• Fair Oaks Orthopaedic Associates, Inc
• Fair Oaks Podiatry and Sports

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.