Active NPI
Fairfax Cardiology PC
- Cardiovascular Disease Physician
- Fairfax, VA
National Provider Identifier
1114974896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- FAIRFAX CARDIOLOGY PC
- Practice address
- 10721 Main St
Suite 3200
Fairfax, VA 22030-6914 - Phone
- (703) 591-7770
- Fax
- (703) 591-8162
- NPI assigned
- May 28, 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
- Mrs. Linda G Shanahan
- Title
- Office Manager
- Phone
- (703) 591-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
10721 Main St
Suite 3200
Fairfax, VA 22030-6914
Mailing address
10721 Main St
Suite 3200
Fairfax, VA 22030-6914
Phone (703) 591-7770
National Provider Directory
National Provider DirectoryLocations
10721 Main St
#S3200
Fairfax, VA 22030
Phone (703) 591-7770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Falls Church, VA
- NPI 1467432146
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Manassas, VA
- NPI 1609875434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114974896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "SUITE 3200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-591-7770",
"fax_number": "703-591-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST",
"address_2": "SUITE 3200",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306914",
"telephone_number": "703-591-7770",
"fax_number": "703-591-8162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRFAX CARDIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHANAHAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "703-591-7770",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Meghan Hennessy Fairbanks, MSP, CCC-SLP
- Fairfax Acupuncture Center, Inc.
- Fairfax Advanced Dentistry, P.C.
- Fairfax Arrhythmia, PLLC
- Fairfax Cardiac Imaging, LLC
- Fairfax Cataract and Retina PLLC
- Fairfax Chiropractic and Rehab
- Fairfax Chiropractic and Wellness Center LLC
- Fairfax Chiropractic PC
- Fairfax City Dentist, PLC
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.