# FAIR OAKS EMERGENCY PHYSICIANS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649203605
- **Authorized official:** MR. JOHN JONES MD (GROUP HEAD)
- **Authorized official phone:** (571) 239-0788

## Contact information

- **Practice address:** 3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
- **Practice address phone:** (703) 391-3996
- **Practice address fax:** (703) 391-3094
- **Mailing address:** PO BOX 734980, CHICAGO, IL 60673-4980
- **Mailing address phone:** (703) 631-1745
- **Mailing address fax:** (703) 662-4803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | VA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 05/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DB5359 | RAILROAD MEDICARE | — |