Fairfax OB-GYN Associates, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

FAIRFAX OB-GYN ASSOCIATES, INC.

Practice address

3650 Joseph Siewick Dr
Suite 203
Fairfax, VA 22033-1710

Phone

(703) 391-1500

Fax

(703) 860-1549

NPI assigned

Oct 13, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Shah, MDNPI 1952334781

Title

Chief Medical Officer

Phone

(202) 899-1055

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Lisa M Shah, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1952334781
  NPD Authorized official
• Gail Ann Edwards, R.N.C.,M.S.N.,A.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Fairfax, VA
  • NPI 1245389188
  NPD (past)

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1891983953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 OPITZ BLVD STE 1",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913326",
            "telephone_number": "703-690-2295",
            "fax_number": "703-690-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "SUITE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-391-1500",
            "fax_number": "703-860-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX OB-GYN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-13",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "202-899-1055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171594",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfax Neonatal Associates, P.C. (Pediatric Infectious Disease Group)
• Fairfax Neonatal Associates, PC (Pediatric Lung and Allergy Center)
• Fairfax Neonatal Associates, PC (Pediatric Surgical Group)
• Fairfax Nursing Center Pharmacy
• Fairfax Nursing Center, Inc
• Fairfax Operator LLC (Fairfax Rehabilitation and Nursing Center)
• Fairfax Optometry, LLC (My Eye Dr.)
• Fairfax Oral and Maxillofacial Surgery PC
• Fairfax Oriental Acupuncture
• Fairfax Orthodontic Associates, PLLC

• Obstetrics & Gynecology Physician in Fairfax, VA
• Providers in Fairfax, 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 Apr 12, 2019; 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.