Active NPI
John Fano Schultze, PA
- Physician Assistant
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110002281
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-3111
- Fax
- (904) 346-0113
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110002281 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
PO Box 759101
Batimore, MA 21275
Phone (703) 205-9790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Cook Dr
Athens, TN 37303-3494
719 Cook Dr
Athens, TN 37303-3495
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110002281 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Physicians Practice LLC | Current | Accepting new patients | |
| Athens Physicians Practice LLC | Current | Accepting new patients | |
| Athens Physicians Practice LLC | Past | Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Locations
705 Cook Dr
Ste 203
Athens, TN 37303
Phone (423) 744-1300
719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770
872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585
Interoperability endpoints
- john.fano-schultze.1@19363.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Starr Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Athens, TN
- NPI 1689055774
-
dba Starr Regional Family Practice - Etowah
- Rural Health Clinic/Center
- Etowah, TN
- NPI 1508627175
-
dba Athens Family Practice
- Rural Health Clinic/Center
- Athens, TN
- NPI 1629097738
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
dba William R. Bowers MD
- Family Medicine Physician
- Athens, TN
- NPI 1073532123
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Starr Regional Medical Center
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548363609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 759101",
"city": "BATIMORE",
"state": "MA",
"postal_code": "21275",
"telephone_number": "703-205-9790",
"fax_number": "904-596-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-3111",
"fax_number": "904-346-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANO SCHULTZE",
"first_name": "JOHN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.