PRINCE WILLIAM FAMILY MEDICINE – NPI #1912022187
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PRINCE WILLIAM FAMILY MEDICINE is a provider located in MANASSAS, VA. NPPES has assigned the NPI number 1912022187 to PRINCE WILLIAM FAMILY MEDICINE on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRINCE WILLIAM FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is FAIRFAX FAMILY PRAC CEN. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Dec 20, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRINCE WILLIAM FAMILY MEDICINE below.

NPI Profile for
FAIRFAX FAMILY PRAC CEN

NPI Number
1912022187
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRFAX FAMILY PRAC CEN
Doing Business As (dba): PRINCE WILLIAM FAMILY MEDICINE
Primary location
8100 ASHTON AVENUE
SUITE 101
MANASSAS, VA 20109
Phone: (703) 257-8090 Fax: (703) 257-7822
Mailing address
PO BOX 791128
BALTIMORE, MD 21279-1128
Phone: (703) 257-8090 Fax: (703) 257-7822
Organization Subpart
Yes - PRINCE WILLIAM FAMILY MEDICINE is subpart of another organization.
Authorized Official
JAMES JENKINS
PRESIDENT
Phone: (703) 255-9100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.