Active NPI
Peter J Fecanin MD PC
- Internal Medicine Physician
- Fairfax, VA
National Provider Identifier
1114095569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PETER J FECANIN MD PC
- Practice address
- 3020 Hamaker CT
Suite #403
Fairfax, VA 22031-2238 - Phone
- (703) 207-8600
- Fax
- (703) 207-9224
- NPI assigned
- Dec 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter Jay Fecanin, M.D.
- Title
- President
- Phone
- (703) 207-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3020 Hamaker CT
Suite #403
Fairfax, VA 22031-2238
Mailing address
3020 Hamaker CT
Suite #403
Fairfax, VA 22031
Phone (703) 207-8600
National Provider Directory
National Provider DirectoryLocations
3020 Hamaker Ct
Ste 403
Fairfax, VA 22031
Phone (703) 207-8600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Vienna, VA
- NPI 1174688915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114095569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE #403",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-207-8600",
"fax_number": "703-207-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HAMAKER CT",
"address_2": "SUITE #403",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312238",
"telephone_number": "703-207-8600",
"fax_number": "703-207-9224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER J FECANIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FECANIN",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-207-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.