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PHENOM SURGICAL LLC
NPI 1871842989
Surgery in Fairfax, VA

Active since September 05, 2012
2750 PROSPERITY AVE, #120, FAIRFAX, VA 22031(703) 659-4557(703) 205-9010 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phenom Surgical Llc NPPES

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

PHENOM SURGICAL LLC (NPI 1871842989) is a healthcare organization registered as a surgery in Fairfax, Virginia and active in the NPI registry since September 2012. The organization lists Thomas Lamont Hegens, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1871842989
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePHENOM SURGICAL LLC
Location Address2750 PROSPERITY AVE, #120Fairfax, VA 22031-4312
Mailing Address8116 Arlington Blvd, #183Falls Church, VA 22042-1002 · (703) 659-4557 · Fax (703) 205-2010
Phone(703) 659-4557
Fax(703) 205-9010
Organization SubpartNo
Authorized OfficialThomas Lamont HegensOwner/ceo · (703) 659-4557
Enumeration DateSeptember 5, 2012
Last NPPES UpdateMay 16, 2016
✔ NPI 1871842989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A 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.
2750 PROSPERITY AVE, Fairfax, VA 22031
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Other Identifiers 2

Other2906VA · National Surgical Assistant Association
OtherSA0017DC · Department Of Health, Health Professional Licensing Administration

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

COMFORT & SUPPORT
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2750 PROSPERITY AVE, STE 120
FAIRFAX, VA 22031
Fairfax County (703) 659-4557
DR. DINA ROSA D.C.
Chiropractor
2750 PROSPERITY AVE, SUITE 550
FAIRFAX, VA 22031
Fairfax County (703) 876-5600
ROSA FAMILY CHIROPRACTIC, LLC
Chiropractor
2750 PROSPERITY AVE, SUITE 550
FAIRFAX, VA 22031
Fairfax County (703) 876-5600

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 Phenom Surgical LLC's NPI number?

The NPI number for Phenom Surgical LLC is 1871842989. It was assigned to this organization in the NPPES registry on September 5, 2012.

Where is Phenom Surgical LLC located?

Phenom Surgical LLC is located at 2750 Prosperity Ave #120, Fairfax, VA 22031. The listed phone number is (703) 659-4557.

What is Phenom Surgical LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Phenom Surgical LLC was last updated on May 16, 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.