Active NPI
Inova Fairfax Hospital
- Children's Hospital
- Falls Church, VA
National Provider Identifier
1356501753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- License
- 0116018750
- Legal business name
- INOVA FAIRFAX HOSPITAL
- Practice address
- 3300 Gallows Rd
Department of Pediatrics
Falls Church, VA 22042-3307 - Phone
- (703) 776-7834
- NPI assigned
- Jun 10, 2008
- 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
- Dr. Natalie Rebecca Shilo, MD
- Title
- Resident
- Phone
- (917) 575-4718
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0116018750 | VA | |
| Critical Access Hospital | 282NC0060X | 0116018750 | VA | |
| Children's Hospital | 282NC2000X | 0116018750 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Department of Pediatrics
Falls Church, VA 22042-3307
Mailing address
1504 Lincoln Way
Unit 118
MC Lean, VA 22102-5851
Phone (917) 575-4718
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1356501753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 LINCOLN WAY",
"address_2": "UNIT 118",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221025851",
"telephone_number": "917-575-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-7834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INOVA FAIRFAX HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "SHILO",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "RESIDENT",
"authorized_official_telephone_number": "917-575-4718",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "VA",
"license": "0116018750",
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "VA",
"license": "0116018750",
"primary": false
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "VA",
"license": "0116018750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.