Organization Active NPI

Virginia Surgery Associates, P.C.

  • Surgery Physician
  • Fairfax, VA
National Provider Identifier
1245218684
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VIRGINIA SURGERY ASSOCIATES, P.C.
Practice address
13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1907
Phone
(703) 359-8640
Fax
(703) 591-6104
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Mrs. Lorrie J Hall
Title
Practice Administrator
Phone
(703) 359-8640

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X VA Primary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X VA

Addresses

Primary practice location

13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1907

Mailing address

13135 Lee Jackson Memorial Hwy Ste 305
Fairfax, VA 22033-1907
Phone (703) 359-8640

Other identifiers 1

IdentifierTypeStateIssuer
1245218684MedicaidVA

National Provider Directory

National Provider Directory

Locations

8101 Hinson Farm Rd
Ste 313
Alexandria, VA 22306
Phone (703) 224-9999

1800 N Beauregard St
Ste 40
Alexandria, VA 22311

4660 Kenmore Ave
Ste 735
Alexandria, VA 22304
Phone (703) 370-2132

3620 Joseph Siewick Dr
Ste 406
Fairfax, VA 22033
Phone (703) 429-2109

4001 Fair Ridge Dr
#4372
Fairfax, VA 22033

8405 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (703) 208-0820

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1245218684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY STE 305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY STE 305",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-359-8640",
            "fax_number": "703-591-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-359-8640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245218684",
            "state": "VA"
        }
    ],
    "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 Nov 4, 2019; 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.