| Neurology Center Of Fairfax, Ltd | |
|
3020 Hamaker Ct Suite 400 Fairfax VA 22031-2238 | |
| (703) 876-0800 | |
| (703) 876-0866 |
| Full Name | Neurology Center Of Fairfax, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3020 Hamaker Ct, Fairfax, Virginia |
| Authorized Official Name and Position | James P Simsarian (DIRECTOR) |
| Authorized Official Contact | 7038760800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Center Of Fairfax, Ltd 3020 Hamaker Ct Suite 400 Fairfax VA 22031-2238 Ph: (703) 876-0800 | Neurology Center Of Fairfax, Ltd 3020 Hamaker Ct Suite 400 Fairfax VA 22031-2238 Ph: (703) 876-0800 |
| NPI Number | 1346285681 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 3577558659 |
|---|---|
| Medicare Enrollment ID | O20040417000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346285681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mark C Tekrony |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386613826 PECOS PAC ID: 2668467747 Enrollment ID: I20040417000610 |
| Provider Name | Richard C Seestedt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104895630 PECOS PAC ID: 8426069139 Enrollment ID: I20060509000896 |
| Provider Name | Candace V Bryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376750133 PECOS PAC ID: 0749374312 Enrollment ID: I20070913000707 |
| Provider Name | James P Simsarian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235108986 PECOS PAC ID: 8527079235 Enrollment ID: I20080409000673 |
| Provider Name | Richard Cho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316110125 PECOS PAC ID: 8325112519 Enrollment ID: I20080806000484 |
| Provider Name | Matthew Churchill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235335993 PECOS PAC ID: 1850461930 Enrollment ID: I20081003000414 |
| Provider Name | Randolph R Stephenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538352430 PECOS PAC ID: 6800947516 Enrollment ID: I20090619000059 |
| Provider Name | Robert Richard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750350989 PECOS PAC ID: 4486796695 Enrollment ID: I20100127000287 |
| Provider Name | Robert N Kurtzke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922067164 PECOS PAC ID: 3779626551 Enrollment ID: I20100202000257 |
| Provider Name | Amy Stone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235108770 PECOS PAC ID: 5496899338 Enrollment ID: I20100216000745 |
| Provider Name | Marco Castro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245209766 PECOS PAC ID: 0547304487 Enrollment ID: I20100216000798 |
| Provider Name | Nicole Alyssa Emma Dietz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265595623 PECOS PAC ID: 3678716495 Enrollment ID: I20130827000354 |
| Provider Name | Meagan Aileen Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790061091 PECOS PAC ID: 4082860028 Enrollment ID: I20160408000063 |
| Provider Name | Lindsey A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207023 PECOS PAC ID: 2860751047 Enrollment ID: I20180405000681 |
| Provider Name | Richard Anthony Monti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124414164 PECOS PAC ID: 8527357375 Enrollment ID: I20200611001057 |
| Provider Name | Siddharth Philip Ninan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285123372 PECOS PAC ID: 7214292549 Enrollment ID: I20230808002802 |
| Provider Name | Marina Daniela Treglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114338308 PECOS PAC ID: 0547567638 Enrollment ID: I20231114000849 |
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