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Su Fairchild

Family Doctor Family Doctor - Adult Medicine Family Doctor - Addiction Medicine

6138 Redwood Square Ctr Ste 204
Centreville , Virginia 20121-4264

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Image

Su Fairchild

Family Doctor Family Doctor - Adult Medicine Family Doctor - Addiction Medicine

6138 Redwood Square Ctr Ste 204
Centreville , Virginia 20121-4264

(888) 414-5264

Write a Review Save Call

Su Fairchild

Family Doctor Family Doctor - Adult Medicine Family Doctor - Addiction Medicine

6138 Redwood Square Ctr Ste 204
Centreville , Virginia 20121-4264

(888) 414-5264 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Addiction Medicine
  • Family Doctor - Adult Medicine

Languages spoken

  • English

Location

6138 Redwood Square Ctr Ste 204 Centreville , Virginia 20121-4264

First Address

  • Su Fairchild
  • Po Box 974
  • Bloomsburg, PA
  • Zip : 17815-0974
  • Fax : (888) 414-5264
  • Phone : (703) 828-4485

Second Address

  • Su Fairchild
  • 6138 Redwood Square Ctr Ste 204
  • Centreville, VA
  • Zip : 20121-4264
  • Phone : (703) 229-5453

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FAQs


Where did Su Fairchild attend graduate school?

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Where did Su Fairchild do her residency?

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Where did Su Fairchild do her fellowship?

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Is Su Fairchild board certified?

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What type of doctor is Su Fairchild

Family Doctor

In what state does Su Fairchild practice in?

Virginia

Where is Su Fairchild ’s practice located?

6138 Redwood Square Ctr Ste 204 , Centreville, Virginia, 20121-4264

What is Su Fairchild ’s gender?

Female

Is Su Fairchild a sole practitioner?

No

Is Su Fairchild accepting new patients?

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What languages does Su Fairchild speak?

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Does Su Fairchild accept insurance?

Yes, Su Fairchild accepts insurance

Does Su Fairchild offers telemedicine?

Su Fairchild has not indicated if she offers telemedicine

What is Su Fairchild ’s professional license number?

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What is Su Fairchild ’s NPI number?

1861488074

Does Su Fairchild have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor MD069929L PA
N 207QA0401X Family Doctor - Addiction Medicine 0101250992 VA
N 207QA0401X Family Doctor - Addiction Medicine MD069929L PA
N 207QA0505X Family Doctor - Adult Medicine 0101250992 VA

National Provider Identifier

NPI 1861488074
Provider Name Su Fairchild
First Address Bloomsburg, PA 17815-0974
Second Address Centreville, VA 20121-4264
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 22/09/2005
Last Update Date 10/10/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
001122151 (05) PA
H23826 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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