NPIMap

Organization Active NPI

Fairfax Neonatal Associates, P.C.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Fairfax, VA
National Provider Identifier
1699863308
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
License
0101033509 Issued in VA
Legal business name
FAIRFAX NEONATAL ASSOCIATES, P.C.
Practice address
2730-C Prosperity Avenue
Fairfax, VA 22031
Phone
(703) 226-2280
Fax
(703) 752-1713
NPI assigned
Oct 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Daniel Edward Keim, M.D.
Title
Physician
Phone
(703) 226-2280

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Janet K Hilliard DO (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X 0101033509 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

2730-C Prosperity Avenue
Fairfax, VA 22031

Mailing address

2730-C Prosperity Avenue
Fairfax, VA 22031
Phone (703) 226-2280

Other names 1

NPPES NPI Registry
  • Pediatric Infectious Disease Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2009.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1699863308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730-C PROSPERITY AVENUE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-226-2280",
            "fax_number": "703-752-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730-C PROSPERITY AVENUE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-226-2280",
            "fax_number": "703-752-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX NEONATAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-226-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "VA",
            "license": "0101033509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Infectious Disease Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 8, 2009; 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.