NPIMap

Organization Active NPI

Fairfax Radiological Consultants PC

  • Specialist
  • Springfield, VA
National Provider Identifier
1346426210
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Practice address
5510 Alma LN
Ste 100
Springfield, VA 22151-4027
Phone
(703) 698-4483
Fax
(703) 573-0880
NPI assigned
Jan 10, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FAIRFAX RADIOLOGICAL CONSULTANTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Bill F Allison
Title
Executive Director
Phone
(703) 698-4483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

5510 Alma LN
Ste 100
Springfield, VA 22151-4027

Mailing address

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031-4400
Phone (703) 698-4483

Other identifiers 1

IdentifierTypeStateIssuer
224403OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory
Tax ID family
Kenneth Rieth MD23 organizations share this tax ID, including this one
Part of
Kenneth Rieth MD

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

5501 Backlick Rd
Ste 305
Springfield, VA 22151

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1346426210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ALMA LN",
            "address_2": "STE 100",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514027",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRFAX RADIOLOGICAL CONSULTANTS PC",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-698-4483"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "224403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.