Dominion Urological Consultants

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DOMINION UROLOGICAL CONSULTANTS

Practice address

8503 Arlington Boulevard
#310
Fairfax, VA 22031

Phone

(703) 208-4200

Fax

(703) 876-1799

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Simon Chung, M.D.

Title

Managing Physician

Phone

(703) 208-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1679804900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BOULEVARD",
            "address_2": "#310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-208-4200",
            "fax_number": "703-876-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 ARLINGTON BOULEVARD",
            "address_2": "#310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-208-4200",
            "fax_number": "703-876-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION UROLOGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "703-208-4200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Christian Domanski, M.D.
• Domingo Suatengco, MD, PC
• Melanie Giselle Dominguez Felix
• Eduardo Jose Dominguez, SA-C
• Dominion Foot & Ankle Consultants PC
• Theresa Donahoe, MS
• Eleni Donas-Mozingo, RBT
• Crystal Donelan, MD
• Jean Al Donet Mostacero, MD
• Vivian Dong, MD

• Urology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.