Active NPI
Fair Oaks Emergency Physicians, PLLC
- Emergency Medical Services (Emergency Medicine) Physician
- Fairfax, VA
National Provider Identifier
1649203605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- FAIR OAKS EMERGENCY PHYSICIANS, PLLC
- Practice address
- 3600 Joseph Siewick Dr
Fairfax, VA 22033-1709 - Phone
- (703) 391-3996
- Fax
- (703) 391-3094
- NPI assigned
- Jul 9, 2006
- Last updated
- May 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Jones, MD
- Title
- Group Head
- Phone
- (571) 239-0788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | VA | Primary |
Addresses
Primary practice location
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Mailing address
PO Box 734980
Chicago, IL 60673-4980
Phone (703) 631-1745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB5359 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
Dept 0745
Washington, DC 20073
Practitioners & affiliated clinicians
Practitioners 115
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warrenton, VA
- NPI 1104832278
DC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warrenton, VA
- NPI 1487660551
DC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warrenton, VA
- NPI 1750395612
DC
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warrenton, VA
- NPI 1356355226
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1649203605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 734980",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606734980",
"telephone_number": "703-631-1745",
"fax_number": "703-662-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 JOSEPH SIEWICK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331709",
"telephone_number": "703-391-3996",
"fax_number": "703-391-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR OAKS EMERGENCY PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "GROUP HEAD",
"authorized_official_telephone_number": "571-239-0788",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB5359",
"state": null
}
],
"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 May 4, 2023; 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.