Fairfax Surgical Center, L.P.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH654 Issued in VA

Legal business name

FAIRFAX SURGICAL CENTER, L.P.

Practice address

10730 Main St
Fairfax, VA 22030-3704

Phone

(703) 691-0670

Fax

(703) 385-2865

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

David McKnight

Title

VP/Cfo

Phone

(972) 789-2816

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Fairfax Surgical Center LPCCN 49C0001001

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1477516979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303704",
            "telephone_number": "703-691-0670",
            "fax_number": "703-385-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303704",
            "telephone_number": "703-691-0670",
            "fax_number": "703-385-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX SURGICAL CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7603827",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Radiological Consultants PC
• Fairfax Rehabilitation, Incorporated
• Fairfax Smiles Dental Care PLC
• Fairfax Therapy Solutions LLC
• Fairfax Urology Associates LTD
• Fairfax Womens Care LLC
• Fairfaxdentalgroup
• Fairfaxmd, PLLC

• Ambulatory Surgical Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.