Family Physicians of Old Town Fairfax PC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101043356 Issued in VA

Legal business name

FAMILY PHYSICIANS OF OLD TOWN FAIRFAX PC.

Doing business as

David D. Leonard, M.D. PC

Practice address

3911 Blenheim Blvd Ste 41C
Fairfax, VA 22030-2434

Phone

(703) 352-7100

Fax

(703) 539-8579

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Drake Leonard, M.D.NPI 1013077148

Title

Medical Director

Phone

(703) 352-7100

Specialties & licenses 2

Addresses

Other names 1

• David D. Leonard, M.D. PC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Drake Leonard, M.D.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1013077148

  DC, Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen Crane-Lee, M.D.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1194885277

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1366570400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 BLENHEIM BLVD STE 41C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-352-7100",
            "fax_number": "703-539-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 BLENHEIM BLVD STE 41C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-352-7100",
            "fax_number": "703-539-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF OLD TOWN FAIRFAX PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DRAKE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-352-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101043356",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David D. Leonard, M.D. PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David D. Leonard, M.D. PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Chiropractic Center of Fairfax Inc.
• Family Dentistry of Fairfax, P. C.
• Family Healthcare of Fairfax PC
• Family Med-Surg Clinic, LLC.
• Family Pharmacy, Inc (The Pharmacy)
• Family Preservation Services, Inc
• Family Priority, LLC
• Family Therapeutics, Inc.
• Family-Run Individual Group Homes of Virginia LLC
• Familynpllc

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.