Inova Fairfax Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

INOVA FAIRFAX HOSPITAL

Practice address

3650 Joseph Siewick Dr
Suite 4TH Floor
Fairfax, VA 22033-1710

Phone

(703) 391-2020

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By 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. Daniel Brueggemann

Title

Housestaff

Phone

(804) 475-9165

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1619133295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791128",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791128",
            "telephone_number": "703-391-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "SUITE 4TH FLOOR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-391-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA FAIRFAX HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "BRUEGGEMANN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "HOUSESTAFF",
        "authorized_official_telephone_number": "804-475-9165",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inova Health Care Services (Inova Laboratories)

• General Acute Care Hospital in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Acute Care Hospital in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.