Fair Oaks Ortho, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FAIR OAKS ORTHO, PLLC

Practice address

3998 Fair Ridge Dr Ste 100
Fairfax, VA 22033-2946

Phone

(703) 591-0077

Fax

(703) 591-0080

NPI assigned

Dec 8, 2021

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen W Pournaras, MDNPI 1821088816

Title

Owner

Phone

(703) 591-0077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fair Oaks Ortho, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fairfax, VA
  • NPI 1750090973

  8921492083

  Same PAC ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen W Pournaras Jr., M D

  • Orthopaedic Hand Surgery Physician
  • Fairfax, VA
  • NPI 1821088816

  DC, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Da Yon Park, PA-C

  • Physician Assistant
  • Fairfax, VA
  • NPI 1053883579

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1518626480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 100-A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-591-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332946",
            "telephone_number": "703-591-0077",
            "fax_number": "703-591-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS ORTHO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "POURNARAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-591-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fair Oaks Emergency Physicians, PLLC
• Fair Oaks Hospitalist Physicians, PLLC
• Fair Oaks Imaging Center, PC
• Fair Oaks Internal Medicine
• Fair Oaks Medical Care Inc.
• Fair Oaks Ortho, PLLC
• Fair Oaks Orthopaedic Associates, Inc
• Fair Oaks Podiatry and Sports
• Fair Oaks Podiatry and Sports
• Fair Oaks Skin Care Center, LTD (Fair Oaks Skin Care Center)

• Orthopaedic Surgery Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.