Mark M. Theiss, MD, P.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101036798 Issued in VA

Legal business name

MARK M. THEISS, MD, P.C.

Practice address

8316 Arlington Blvd
Suite 414
Fairfax, VA 22031-5207

Phone

(703) 573-2218

Fax

(703) 573-2373

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Audrey Carr

Title

Office Manager

Phone

(703) 573-2218

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1770716656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 414",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-2218",
            "fax_number": "703-573-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 414",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-2218",
            "fax_number": "703-573-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK M. THEISS, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-573-2218"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101036798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH475892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.