PEDIATRIC SURGICAL GROUP – NPI #1700088242
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

PEDIATRIC SURGICAL GROUP is a surgeon located in FAIRFAX, VA. NPPES has assigned the NPI number 1700088242 to PEDIATRIC SURGICAL GROUP on June 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC SURGICAL GROUP” is a dba name, the actual legal business name for this organization is FAIRFAX NEONATAL ASSOCIATES, PC. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 10 years ago on May 18, 2016. 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 PEDIATRIC SURGICAL GROUP below.

NPI Profile for
FAIRFAX NEONATAL ASSOCIATES, PC

NPI Number
1700088242
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 NEONATAL ASSOCIATES, PC
Doing Business As (dba): PEDIATRIC SURGICAL GROUP
Primary location
2730 PROSPERITY AVE
STE C
FAIRFAX, VA 22031-4329
Phone: (703) 560-2236 Fax:
Mailing address
2730 PROSPERITY AVE # B
FAIRFAX, VA 22031-4329
Phone: Fax:
Organization Subpart
Yes - PEDIATRIC SURGICAL GROUP is subpart of another organization.
Authorized Official
CAROLYN HALTERMAN
PROJECT MANAGER
Phone: (703) 289-1448
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
2086S0120X
- Surgery / Pediatric Surgery (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.