FDL Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101241553 Issued in VA

Legal business name

FDL DERMATOLOGY, PLLC

Practice address

1715 N George Mason Dr
Suite 406
Arlington, VA 22205-3609

Phone

(703) 310-7400

Fax

(703) 574-3184

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Regan Herbert, MD

Title

Physician

Phone

(703) 310-7400

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Talakoub, M.D.

  • Dermatology Physician
  • MC Lean, VA
  • NPI 1801929773
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1952593832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-310-7400",
            "fax_number": "703-574-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N GEORGE MASON DR",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053609",
            "telephone_number": "703-310-7400",
            "fax_number": "703-574-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDL DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "REGAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-310-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101241553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Farrelly
• Lacey Farrow, LPC
• Sandra Vayo Fasing, APRN
• Jasmine Marie Fassett, PSY. S
• Manar Fawahry
• Fedhealth Systems Alliance, LLC
• John M Feigert, M.D.
• Agere Fekadu
• Joli Scorce Fekeci, L.C.S.W.
• Talia Rachel Feldman, M.ED.

• Dermatology Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.