NPIMap

Organization Active NPI

Fair Oaks Surgical Associates LLC

  • Surgical Assistant
  • Fairfax, VA
National Provider Identifier
1427324722
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
FAIR OAKS SURGICAL ASSOCIATES LLC
Practice address
3700 Joseph Siewick Dr Ste 408
Fairfax, VA 22033-1745
Phone
(703) 391-3620
Fax
(703) 391-3713
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Esam Al Nouman
Title
President/Ceo
Phone
(703) 391-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

3700 Joseph Siewick Dr Ste 408
Fairfax, VA 22033-1745

Mailing address

PO Box 221135
Chantilly, VA 20153-1135
Phone (703) 391-3620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1427324722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221135",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201531135",
            "telephone_number": "703-391-3620",
            "fax_number": "703-391-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 408",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331745",
            "telephone_number": "703-391-3620",
            "fax_number": "703-391-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "AL NOUMAN",
        "authorized_official_first_name": "ESAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "703-391-3620"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2017; 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.