Active NPI
Family Healthcare of Fairfax PC
- Family Medicine Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY HEALTHCARE OF FAIRFAX PC
- Practice address
- 3025 Hamaker CT Ste 350
Fairfax, VA 22031-2243 - Phone
- (703) 573-6400
- Fax
- (703) 641-5821
- NPI assigned
- Feb 28, 2007
- Last updated
- Dec 5, 2012
- 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
- Eugene A Shmorhun, MD
- Title
- Owner
- Phone
- (703) 573-6400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3025 Hamaker CT Ste 350
Fairfax, VA 22031-2243
Mailing address
3025 Hamaker CT Ste 350
Fairfax, VA 22031-2243
Phone (703) 573-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0867427 | Family Healthcare of Fairfax, PC | Certificate of waiver | Jun 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
3025 Hamaker Ct
Ste 350
Fairfax, VA 22031
Phone (703) 573-6400
Practitioners & affiliated clinicians
Practitioners 3
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": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354665600000",
"number": "1144357633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 350",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312243",
"telephone_number": "703-573-6400",
"fax_number": "703-641-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 350",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312243",
"telephone_number": "703-573-6400",
"fax_number": "703-641-5821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHCARE OF FAIRFAX PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2012-12-05",
"status": "A",
"authorized_official_last_name": "SHMORHUN",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-573-6400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Paul David Falkenstein, PAC
- Family and Cosmetic Dentistry
- Family Care of Fairfax
- Family Chiropractic Center of Fairfax Inc.
- Family Dentistry of Fairfax, P. C.
- Family Med-Surg Clinic, LLC.
- Family Pharmacy, Inc (The Pharmacy)
- Family Physicians of Old Town Fairfax PC. (David D. Leonard, M.D. PC)
- Family Preservation Services, Inc
- Family Priority, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.