MEDICARE: OAOC, LLC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1790635456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAOC, LLC

Provider Business Mailing Address
First Line	:	11351 RANDOM HILLS RD STE 500
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11351 RANDOM HILLS RD STE 500
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6081
Country	:	US
Telephone Number	:	907-227-4150
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL MANAGEMENT
Name	:	DAWN MARIE PFEIFFER
Credential	:	RN
Telephone Number	:	907-227-4150

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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