MEDICARE: FAIRFAX FAMILY PRACTICE CENTERS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588788764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRFAX FAMILY PRACTICE CENTERS PC

Provider Business Mailing Address
First Line	:	PO BOX 791128
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21279-1128
Country	:	US
Telephone Number	:	703-257-8090
Fax Number	:	703-257-7822

Provider Business Practice Location Address
First Line	:	8078 CRESCENT PARK DRIVE
Second Line	:	SUITE 201
City	:	GAINESVILLE
State	:	VA
Zip	:	20155
Country	:	US
Telephone Number	:	703-257-8090
Fax Number	:	703-257-7822

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES P JENKINS
Credential	:	MD
Telephone Number	:	703-255-9100

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	12/26/2007

Similar Medicare Providers

1083872980 — DR. CHETANA L RAMISETTY DDS
Practice Location Address:

13801 HEATHCOTE BLVD STE 100
GAINESVILLE, VA
20155-3352

Practice Phone: 703-956-0981
Practice Fax:

1952910358 — DR. ERICA RIBENBOIM D.M.D
Practice Location Address:

14535 JOHN MARSHALL HWY#209
GAINESVILLE, VA
20155

Practice Phone: 703-753-2252
Practice Fax:

1376243022 — CASEY JO ODOM FNP-BC
Practice Location Address:

13575 HEATHCOTE BLVD STE 210
GAINESVILLE, VA
20155-6698

Practice Phone: 571-248-4620
Practice Fax:

1164633152 — TIMOTHY K SUMNER DDS
Practice Location Address:

7548 GARDNER PARK DR
GAINESVILLE, VA
20155-3414

Practice Phone: 517-248-4415
Practice Fax:

1205839073 — DR. MARY A SPEICHER DMD
Practice Location Address:

7915 LAKE MANASSAS DR , SUITE 115
GAINESVILLE, VA
20155-3258

Practice Phone: 571-261-9470
Practice Fax: 571-261-9472

1902809684 — PHILIP R CHUNG M.D.
Practice Location Address:

7300 HERITAGE VILLAGE PLZ , SUITE 101
GAINESVILLE, VA
20155-3079

Practice Phone: 703-753-4733
Practice Fax: 703-753-2183

1295730752 — DAVID SAHLEY MSPT
Practice Location Address:

7210 HERITAGE VILLAGE PLZ , 101
GAINESVILLE, VA
20155-3071

Practice Phone: 703-754-0394
Practice Fax: 703-754-0254

Directions to “FAIRFAX FAMILY PRACTICE CENTERS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.