Organization Active NPI

Fair Oaks Urology, L.L.C.

  • Specialist
  • Fairfax, VA
National Provider Identifier
1982140687
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAIR OAKS UROLOGY, L.L.C.
Practice address
3700 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1737
Phone
(703) 698-1856
Fax
(703) 207-0843
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Anthony R Vara, M.D.
Title
Physician
Phone
(703) 698-1856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3700 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1737

Mailing address

3700 Joseph Siewick Dr Ste 101
Fairfax, VA 22033-1737
Phone (703) 698-1856

National Provider Directory

National Provider Directory

Locations

3700 Joseph Siewick Dr
Ste 101
Fairfax, VA 22033
Phone (703) 698-1856

3700 Joseph Siewick Dr
Ste 102
Fairfax, VA 22033
Phone (703) 207-2079

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1982140687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331737",
            "telephone_number": "703-698-1856",
            "fax_number": "703-207-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331737",
            "telephone_number": "703-698-1856",
            "fax_number": "703-207-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS UROLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "VARA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-698-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.