PEDIATRIC SURGICAL GROUP
NPI 1700088242
Surgery - Pediatric Surgery in Fairfax, VA

Active since June 05, 2007
2730 PROSPERITY AVE, STE C, FAIRFAX, VA 22031(703) 560-2236 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pediatric Surgical Group NPPES

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

PEDIATRIC SURGICAL GROUP (NPI 1700088242) is a healthcare organization registered as a pediatric surgery in Fairfax, Virginia and active in the NPI registry since June 2007. The organization lists Carolyn Halterman, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1700088242
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameFAIRFAX NEONATAL ASSOCIATES, PC
Location Address2730 PROSPERITY AVE, STE CFairfax, VA 22031-4329
Mailing Address2730 Prosperity Ave # BFairfax, VA 22031-4329
Organization SubpartYesParent: Fairfax Neonatal Associates
Authorized OfficialCarolyn HaltermanProject Manager · (703) 289-1448
Enumeration DateJune 5, 2007
Last NPPES UpdateMay 18, 2016
✔ NPI 1700088242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
2730 PROSPERITY AVE, Fairfax, VA 22031

Other Names 1

Doing Business AsPediatric Surgical Group

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

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

Pediatrics (Pediatric Pulmonology)
2730 PROSPERITY AVE, SUITE D
FAIRFAX, VA 22031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Neonatal Associates, PC's NPI number?

The NPI number for Fairfax Neonatal Associates, PC is 1700088242. It was assigned to this organization in the NPPES registry on June 5, 2007. The provider is doing business as Pediatric Surgical Group.

Where is Fairfax Neonatal Associates, PC located?

Fairfax Neonatal Associates, PC is located at 2730 Prosperity Ave Ste C, Fairfax, VA 22031. The listed phone number is (703) 560-2236.

What is Fairfax Neonatal Associates, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Fairfax Neonatal Associates, PC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.