Organization Active NPI

North Arlington Family Practice, PC

Doing business as Ashton Avenue Family Medicine

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1083896476
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH ARLINGTON FAMILY PRACTICE, PC
Doing business as
Ashton Avenue Family Medicine
Practice address
8100 Ashton Ave
Suite 207
Manassas, VA 20109-5622
Phone
(703) 334-5801
Fax
(703) 334-5805
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Susan Fitzgerald, MDNPI 1730175209
Title
President
Phone
(703) 334-5801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8100 Ashton Ave
Suite 207
Manassas, VA 20109-5622

Mailing address

6729 25TH St N
Arlington, VA 22213-1102
Phone (703) 533-1550

Other identifiers 1

IdentifierTypeStateIssuer
309288OtherVAANTHEM BC/BS

Other names 1

  • Ashton Avenue Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1080191North Arlington Family Practice, PC8100 Ashton Avenue - Suite 207, Manassas, VA 20109Provider-performed microscopyFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

8100 Ashton Ave
Ste 207
Manassas, VA 20109
Phone (703) 334-5801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1083896476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 25TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222131102",
            "telephone_number": "703-533-1550",
            "fax_number": "703-533-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE 207",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "703-334-5801",
            "fax_number": "703-334-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ARLINGTON FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-334-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "309288",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashton Avenue Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.