Fairfax Pulmonary Consulting LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0116019977 Issued in VA

Legal business name

FAIRFAX PULMONARY CONSULTING LLC

Practice address

880 N Pollard St
#501
Arlington, VA 22203-1738

Phone

(703) 957-9119

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Oneil Dimitry Williams, MD

Title

Member

Phone

(703) 957-9119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1124370093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N POLLARD ST",
            "address_2": "#501",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031738",
            "telephone_number": "703-957-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N POLLARD ST",
            "address_2": "#501",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031738",
            "telephone_number": "703-957-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX PULMONARY CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ONEIL DIMITRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-957-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0116019977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.