MRS. JESSICA FANTAZOS PA-C
NPI 1558673350
Physician Assistant - Medical in Woodbridge, VA

NPI Status: Active since July 08, 2010

Contact Information

14904 JEFFERSON DAVIS HWY
SUITE 103
WOODBRIDGE, VA
ZIP 22191
Phone: (703) 497-4222
Fax: (703) 492-0164

Get Directions Write a Review

  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About JESSICA FANTAZOS

This page provides the complete NPI Profile along with additional information for Jessica Fantazos, a primary care provider established in Woodbridge, Virginia with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1558673350 assigned on July 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 0110002900 (VA). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1558673350
Provider Name
MRS. JESSICA FANTAZOS PA-C
Gender
Female
Entity Type
Individual
Location Address
14904 JEFFERSON DAVIS HWY SUITE 103 WOODBRIDGE, VA 22191
Location Phone
(703) 497-4222
Location Fax
(703) 492-0164
Mailing Address
14904 JEFFERSON DAVIS HWY SUITE 103 WOODBRIDGE, VA 22191
Mailing Phone
(703) 497-4222
Mailing Fax
(703) 492-0164
Is Sole Proprietor?
No
Enumeration Date
07-08-2010
Last Update Date
07-08-2010
Code Navigator

A primary care provider (PCP) like Jessica Fantazos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0110002900
License State
VA

Medicare Participation & PECOS Enrollment Status

Jessica Fantazos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MRS. JESSICA FANTAZOS PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558673350, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 2 + 7 + 6 + 3 + 1 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1558673350.

Other Providers at the Same Location


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

Physical Therapist
14904 JEFFERSON DAVIS HWY, STE 105
WOODBRIDGE, VA 22191
Internal Medicine (Gastroenterology)
14904 JEFFERSON DAVIS HWY, SUITE 408
WOODBRIDGE, VA 22191
Ophthalmology
14904 JEFFERSON DAVIS HWY, SUITE 308
WOODBRIDGE, VA 22191
Internal Medicine (Gastroenterology)
14904 JEFFERSON DAVIS HWY, SUITE #103
WOODBRIDGE, VA 22191
Internal Medicine
14904 JEFFERSON DAVIS HWY, STE 302
WOODBRIDGE, VA 22191
Internal Medicine (Endocrinology, Diabetes & Metabolism)
14904 JEFFERSON DAVIS HWY, SUITE 408
WOODBRIDGE, VA 22191
Internal Medicine (Cardiovascular Disease)
14904 JEFFERSON DAVIS HWY, #406
WOODBRIDGE, VA 22191
Internal Medicine (Gastroenterology)
14904 JEFFERSON DAVIS HWY, SUITE 408
WOODBRIDGE, VA 22191
Clinic/Center
14904 JEFFERSON DAVIS HWY, SUITE 205
WOODBRIDGE, VA 22191
Specialist
14904 JEFFERSON DAVIS HWY, #306
WOODBRIDGE, VA 22191
Internal Medicine
14904 JEFFERSON DAVIS HWY, SUITE209
WOODBRIDGE, VA 22191
Emergency Medicine
14904 JEFFERSON DAVIS HWY, SUITE 207
WOODBRIDGE, VA 22191
Social Worker (Clinical)
14904 JEFFERSON DAVIS HWY, SUITE 403
WOODBRIDGE, VA 22191
Internal Medicine (Rheumatology)
14904 JEFFERSON DAVIS HWY, SUITE 203
WOODBRIDGE, VA 22191
Specialist
14904 JEFFERSON DAVIS HWY, #306
WOODBRIDGE, VA 22191
Internal Medicine (Cardiovascular Disease)
14904 JEFFERSON DAVIS HWY, 406
WOODBRIDGE, VA 22191
Ophthalmology
14904 JEFFERSON DAVIS HWY, SUITE 308
WOODBRIDGE, VA 22191
Internal Medicine
14904 JEFFERSON DAVIS HWY, SUITE 205
WOODBRIDGE, VA 22191
Chiropractor
14904 JEFFERSON DAVIS HWY, SUITE 301
WOODBRIDGE, VA 22191
Optometrist
14904 JEFFERSON DAVIS HWY, STE 308
WOODBRIDGE, VA 22191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558673350, enumerated as an "individual" on July 08, 2010.

The provider is located at 14904 JEFFERSON DAVIS HWY SUITE 103 WOODBRIDGE, VA 22191 and the phone number is (703) 497-4222.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.