Heritage Family Practice Associates, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0645748 Issued in VA

Legal business name

HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.

Practice address

4001 Fair Ridge Dr
#101
Fairfax, VA 22033-2917

Phone

(703) 385-6789

Fax

(703) 352-9409

NPI assigned

Nov 10, 2006

Last updated

Apr 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Overton

Title

Office Manager

Phone

(703) 385-6789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Jeffrey B Conklin, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Ashburn, VA
  • NPI 1265513238

  DC

  Medicare reassignment Care Compare group NPD
• Jee Eun Lee Karl, M.D.

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1598070732

  DC

  Medicare reassignment Care Compare group NPD
• Marie Christine Fugitt, CFNP

  • Nurse Practitioner
  • Fairfax, VA
  • NPI 1073891529

  DC

  Medicare reassignment Care Compare group
• Jean A Cox, FNP-C

  • Family Nurse Practitioner
  • Fairfax, VA
  • NPI 1144477894

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1881765279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "#101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-385-6789",
            "fax_number": "703-352-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "#101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-385-6789",
            "fax_number": "703-352-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY PRACTICE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-385-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0645748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymour I Hepner, M.D.
• Charlene Heppner, PT
• Suzanne Brooks Herberg, LPC
• Gretta Herbert, OFFICE ADMINISTRATOR
• Hercharan Kaur Sethi M.D. P.C.
• Heritage Nursing and Healthcare
• Marjorie Anne Hermes, MD
• Brianna Marie Hernandez-Jimenez, PHD
• Alizerette Hernandez-Vega, LCSW
• Dahlia Hernandez, RD

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.