Jan Paul Fruiterman MD & Associates, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101029267 Issued in MD

Legal business name

JAN PAUL FRUITERMAN MD & ASSOCIATES, PC

Practice address

13880 Braddock Rd Ste 307
Centreville, VA 20121-2462

Phone

(703) 425-5100

Fax

(703) 425-8803

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jan Paul Fruiterman, MD

Title

President

Phone

(703) 425-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710044706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK ROAD, SUITE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212438",
            "telephone_number": "703-425-5100",
            "fax_number": "703-425-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 307",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-425-5100",
            "fax_number": "703-425-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN PAUL FRUITERMAN MD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUITERMAN",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-425-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "0101029267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Jacobs, MS CCC-SLP
• Jae M Chong DMD PC
• Holly B Jahshan, DPT
• Ramatu Dougray Jalloh, PMHNP
• Asma Jamil, PA-C
• Mary Heejoo Jang
• Rachel M Jang, PHARMD
• Youngchul Jang
• Rim Jarjour, PHARMACY
• Jeffery S. Ackerman D.D.S. LTD.

• Obstetrics & Gynecology Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.