Active NPI
Maryanne Tarkington, MD
- Urology Physician
- Fairfax, VA
National Provider Identifier
1407849136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101041526
- Practice address
- 8503 Arlington Blvd
#310
Fairfax, VA 22031-4628 - Phone
- (703) 208-4200
- Fax
- (703) 876-1799
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101041526 | VA | Primary |
Addresses
Primary practice location
8503 Arlington Blvd
#310
Fairfax, VA 22031-4628
Mailing address
PO Box 327
McLean, VA 22101
Phone (703) 346-3321
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502651 | Other | NCPPO | |
| 440309 | Other | ANTHEM MAIN OFFICE | |
| 839434 | Other | AETNA | |
| 290991 | Other | ANTEHM SATELLITE OFFICE | |
| B131/0006 | Other | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101041526 | VA | MD | Urology Physician |
| 0101044320 | VA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1407849136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "MCLEAN",
"state": "VA",
"postal_code": "22101",
"telephone_number": "703-346-3321",
"fax_number": "703-356-3739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8503 ARLINGTON BLVD",
"address_2": "#310",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314628",
"telephone_number": "703-208-4200",
"fax_number": "703-876-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARKINGTON",
"first_name": "MARYANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101041526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "502651",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MAIN OFFICE",
"identifier": "440309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "839434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTEHM SATELLITE OFFICE",
"identifier": "290991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "B131/0006",
"state": null
}
],
"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 Apr 17, 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.