Healthcare Provider Details

I. General information

NPI: 1912121898
Provider Name (Legal Business Name): JEFF E SCHULMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 11/27/2023
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD DEPT OF ORTHOPAEDIC TRAUMA, INOVA FAIRFAX HOSPITAL
FALLS CHURCH VA
22042-3307
US

IV. Provider business mailing address

3300 GALLOWS RD DEPT OF ORTHOPAEDIC TRAUMA, INOVA FAIRFAX HOSPITAL
FALLS CHURCH VA
22042-3307
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-3625
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101241571
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number0101241571
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD035423
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: