| Fairfax Family Medicine Center | |
|
10801 Main St Suite 700 Fairfax VA 22030-4745 | |
| (703) 591-4100 | |
| (703) 591-5380 |
| Full Name | Fairfax Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 10801 Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Michael D Kim (PRESIDENT) |
| Authorized Official Contact | 7035914100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfax Family Medicine Center 10801 Main St Suite 700 Fairfax VA 22030-4745 Ph: (703) 591-4100 | Fairfax Family Medicine Center 10801 Main St Suite 700 Fairfax VA 22030-4745 Ph: (703) 591-4100 |
| NPI Number | 1609812510 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 10/26/2009 |
| Medicare PECOS PAC ID | 5799860896 |
|---|---|
| Medicare Enrollment ID | O20080313000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609812510 | NPI | - | NPPES |
| 2110066 | Other | MAMSI PPO | |
| 625622 | Other | NCPPO | |
| 465828 | Other | ANTHEM BCBS | |
| 010002834 | Medicaid | VA | |
| 3314356 | Other | AETNA HMO | |
| 7741476 | Other | AETNA PPO | |
| H9840001 | Other | CAREFIRST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101233609 (Virginia) | Primary |
| Provider Name | Juliana J Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336178516 PECOS PAC ID: 4486724887 Enrollment ID: I20090219000183 |
| Provider Name | Michael Donhyun Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144291097 PECOS PAC ID: 8325123425 Enrollment ID: I20100414000058 |
| Provider Name | Injung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487095311 PECOS PAC ID: 9537481098 Enrollment ID: I20141211001601 |
| Provider Name | Janice Junghi Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073280160 PECOS PAC ID: 0042690851 Enrollment ID: I20220710000119 |
Neighborhood Health At Merrifield Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-535-5568 Fax: 703-299-1794 | |
Fair Oaks Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St, #1500, Fairfax, VA 22030 Phone: 703-218-2970 Fax: 703-218-2965 | |
Health Connect Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033 Phone: 703-391-2042 | |
Revive Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033 Phone: 571-544-8110 | |
Paramount Care Physicians Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033 Phone: 703-222-0002 Fax: 703-449-9890 | |
Boundless Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13112 Moss Ranch Ln, Fairfax, VA 22033 Phone: 703-705-2720 | |
Shanmugam Mukundan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St, Suite 101, Fairfax, VA 22030 Phone: 703-349-1191 |