RUSSELL P. SENECA M.D. NPI 1003802208

Surgery in Fairfax, VA

Individual Male Surgery

About RUSSELL SENECA

Russell Seneca is a provider established in Fairfax, Virginia and his medical specialization is surgery. The NPI number of Russell Seneca is 1003802208 and was assigned on September 2005. The practitioner's primary taxonomy code is 208600000X with license number 0101019015 (VA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI

1003802208

Provider Name RUSSELL P. SENECA M.D.
Provider Location Address4001 FAIR RIDGE DR SUITE 304 FAIRFAX, VA 22033
Provider Mailing Address4001 FAIR RIDGE DR SUITE 304 FAIRFAX, VA 22033
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-22-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.0101019015
License StateVA
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

RUSSELL P. SENECA M.D.
4001 FAIR RIDGE DR
SUITE 304
FAIRFAX, VA
ZIP 22033
Phone: (703) 359-8640
Fax: (703) 591-6105

Get Directions

Mailing Address

RUSSELL P. SENECA M.D.
4001 FAIR RIDGE DR
SUITE 304
FAIRFAX, VA
ZIP 22033
Phone: (703) 359-8640
Fax: (703) 591-6105

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
003247V54MEDICARE ID-TYPE UNSPECIFIED (04)VA
C61451MEDICARE UPIN (02)VA
7379056MEDICAID (05)VA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033220454PROF. SALLY A MCFARLAND MD
Individual
Internal Medicine4001 FAIR RIDGE DR SUITE 303
FAIRFAX, VA 22033
(703) 539-8601
1124006747 VINCENT JAMES MASCATELLO MD
Individual
4001 FAIR RIDGE DR #103, FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033
(703) 385-5203
1134224025 JAMIE L ZAITA MD
Individual
Obstetrics & Gynecology4001 FAIR RIDGE DR 202
FAIRFAX, VA 22033
(703) 591-2223
1154307122DR. SARITA GOPAL M.D.
Individual
Obstetrics & Gynecology4001 FAIR RIDGE DR SUITE 301
FAIRFAX, VA 22033
(703) 359-5900
1235149006DR. BOPHARY KIM EA-LIM DDS
Individual
Dentist (General Practice)4001 FAIR RIDGE DR SUITE 105
FAIRFAX, VA 22033
(703) 352-0741
1255379889 CHARLES JUN HUH M.D.
Individual
Internal Medicine (Gastroenterology)4001 FAIR RIDGE DR #206
FAIRFAX, VA 22033
(703) 262-0200
1285693044DR. GERALDINE ELIZABETH VINGELIS EDD
Individual
4001 FAIR RIDGE DR STE 302
FAIRFAX, VA 22033
(703) 352-1244
1336230978 WILLIAM V HINDLE M.D.
Individual
Radiology (Diagnostic Radiology)4001 FAIR RIDGE DR #103 FAIR OAKS IMAGING CENTER 54-1702731
FAIRFAX, VA 22033
(703) 385-5203
1356327381DR. LAURA PICKFORD M.D.
Individual
Obstetrics & Gynecology4001 FAIR RIDGE DR SUITE 301
FAIRFAX, VA 22033
(703) 359-5900
1356329965 ZIYAD KHALIL HADDAD MD
Individual
Radiology (Diagnostic Radiology)4001 FAIR RIDGE DR #103, FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033
(703) 385-5203
1356378640 PATRICIA M KULAS M.D.
Individual
Radiology (Diagnostic Radiology)4001 FAIR RIDGE DR #103 FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033
(703) 385-5203
1447238050 MICHAEL ANDREW GRIMM MD
Individual
4001 FAIR RIDGE DR #103, FAIR OAKS IMAGING CENTER
FAIRFAX, VA 22033
(703) 385-5203
1477648145MS. CYNTHIA T STONE NP
Individual
Family Medicine4001 FAIR RIDGE DR SUITE 202
FAIRFAX, VA 22033
(703) 591-2223
1538254875DR. THIENQUANG DAT LE M.D.
Individual
Internal Medicine4001 FAIR RIDGE DR SUITE 206
FAIRFAX, VA 22033
(703) 716-5404
1568447340DR. RAY A WERTHEIM M.D
Individual
Obstetrics & Gynecology4001 FAIR RIDGE DR SUITE 301
FAIRFAX, VA 22033
(703) 359-5900
1578679296 MERY BERTRAND
Individual
Physical Therapist4001 FAIR RIDGE DR SUITE 203
FAIRFAX, VA 22033
(703) 865-7680
1750359436GREENBRIAR OBGYN, PC
Organization
Obstetrics & Gynecology (Obstetrics)4001 FAIR RIDGE DR SUITE 301
FAIRFAX, VA 22033
(703) 359-5900
1760597843 NITU PANDIT P.T.
Individual
Physical Therapist4001 FAIR RIDGE DR
FAIRFAX, VA 22033
(703) 273-0093
1881634053GASTROENTEROLOGY CONSULTANTS OF NORTHERN VIRGINIA PLC
Organization
Internal Medicine (Gastroenterology)4001 FAIR RIDGE DR #206
FAIRFAX, VA 22033
(703) 262-0200
1962493866 SUSAN LEE RUSSO C.N.M.
Individual
Advanced Practice Midwife4001 FAIR RIDGE DR SUITE 303
FAIRFAX, VA 22033
(703) 359-4842

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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