INOVA FAIRFAX PA SURGICAL GROUP – NPI #1154996312
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

INOVA FAIRFAX PA SURGICAL GROUP is a surgeon located in FALLS CHURCH, VA. NPPES has assigned the NPI number 1154996312 to INOVA FAIRFAX PA SURGICAL GROUP on May 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INOVA FAIRFAX PA SURGICAL GROUP” is a dba name, the actual legal business name for this organization is INOVA HEALTH CARE SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on Jul 07, 2021. 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 INOVA FAIRFAX PA SURGICAL GROUP below.

NPI Profile for
INOVA HEALTH CARE SERVICES

NPI Number
1154996312
Enumeration Date

(more than 5 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
INOVA HEALTH CARE SERVICES
Doing Business As (dba): INOVA FAIRFAX PA SURGICAL GROUP
Website
Primary location
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3300
Phone: (703) 776-4001 Fax:
Mailing address
8110 GATEHOUSE RD
FALLS CHURCH, VA 22042-1252
Phone: (703) 205-2262 Fax:
Organization Subpart
No
Authorized Official
RICARDO TALENTO
CHIEF FINANCIAL OFFICER
Phone: (703) 776-4001
Updated
Certification Date
Jul 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.