FAIRFAX MEDICAL ASSOCIATES,LLC
NPI 1184147829
Specialist/Technologist, Other - Surgical Assistant in Fairfax, VA

Q: What is Fairfax Medical Associates,llc's NPI number?

The NPI number for Fairfax Medical Associates,llc is 1184147829. It was assigned to this organization in the NPPES registry on July 25, 2017.

Q: What is Fairfax Medical Associates,llc's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Active since July 25, 2017

12011 LEE JACKSON MEMORIAL HWY STE 501, FAIRFAX, VA 22033(703) 259-7027 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2023, Jul 25, 2017 (2 updates tracked since 2017).

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About Fairfax Medical Associates,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX MEDICAL ASSOCIATES,LLC (NPI 1184147829) is a healthcare organization registered as a surgical assistant in Fairfax, Virginia and active in the NPI registry since July 2017. The organization lists Esam Al Nouman, President, as its authorized official.

NPPES Registry Identity

NPI1184147829

Entity TypeOrganization

Primary Taxonomy246ZC0007X

Legal Business NameFAIRFAX MEDICAL ASSOCIATES,LLC

Location Address12011 LEE JACKSON MEMORIAL HWY STE 501Fairfax, VA 22033-3315

Mailing AddressPo Box 45718Baltimore, MD 21297-5718 · (214) 227-2457 · Fax (214) 764-0880

Phone(703) 259-7027

Organization SubpartNo

Authorized OfficialEsam Al NoumanPresident · (214) 227-2457

Enumeration DateJuly 25, 2017

Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1184147829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

12011 LEE JACKSON MEMORIAL HWY STE 501, Fairfax, VA 22033

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CINDY CATALINA CAMPOVERDE CSA

Specialist/Technologist, Other (Surgical Assistant)