Dr. Peter Jay Fecanin
Internal Medicine

Address: 3020 Hamaker Ct, Suite #403, Fairfax, VA 22031-2238
Phone: 7032078600

Dr. Peter Jay Fecanin (NPI# 1093881864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093881864
Entity Type Individual
Full Name Dr. Peter Jay Fecanin
Credential M.D.
Gender Male
Practice Address 3020 Hamaker Ct
Suite #403
VA 22031-2238
Practice Telephone 7032078600
Practice Fax Number 7032079224
Mailing Address 3020 Hamaker Ct
Suite #403
VA 22031-2238
Mailing Telephone 7032078600
Mailing Fax Number 7032079224
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-25
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 0101029545 VA

Physician Overview

NPI 1093881864
PAC ID by PECOS 0840450714
Professional Enrollment ID I20120330000030
Full Name Peter J Fecanin
Phone Number 7034351223
Gender M
Graduation Year 1976
Group Practice PAC ID 2466581772
Number of Group Practice Members 106
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 3020 HAMAKER CT
SUITE #403
State VA
Zip Code 22031-2238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912900598 Joann Pfundstein Internal Medicine 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 2005-05-27
1689128407 Susan Ammerman Psychologist 3020 Hamaker Ct, Suite 103, Fairfax, VA 22031-2238 2016-08-10
1962857318 Joann Pfundstein, Md, LLC Clinic/Center 3020 Hamaker Ct, Suite B102, Fairfax, VA 22031-2238 2016-05-03
1962876565 Janet Cartwright-smith Speech-Language Pathologist 3020 Hamaker Ct, Fairfax, VA 22031-2238 2015-11-19
1700126000 Shannon Eickhoff Physician Assistant 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238 2013-02-22
1104163542 Fairfax Arrhythmia, Pllc Internal Medicine 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 2013-01-04
1063765154 Janet Elizabeth Black Behavior Analyst 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031-2238 2012-10-26
1891058921 Lonny Nodelman Podiatrist 3020 Hamaker Ct, 201, Fairfax, VA 22031-2238 2012-06-22
1932468162 Maria Olivia A Ricci Nurse Practitioner 3020 Hamaker Ct, Suite 502, Fairfax, VA 22031-2238 2012-05-08
1790061091 Meagan Aileen Adamson Nurse Practitioner 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 2011-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
1669976221 Fairfax Family Life Behavioral Health, LLC Psychiatry & Neurology Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 2018-03-20
1013419803 Sharita Vivian Crawford Social Worker 8270 Willow Oaks Corporate Drive, Office of Social Work, Fairfax, VA 22031 2018-03-07
1982113296 Gabrielle La Porta Leger Physician Assistant 8505 Arlington Blvd Ste 400, Fairfax, VA 22031 2017-09-29
1144739699 Danielle Christina Sharp Behavior Technician 9870a Main Street, Fairfax, VA 22031 2017-09-28
1295253102 Mildred J Medrano Nurse Practitioner 9229 Arlington Blvd., Fairfax, VA 22031 2017-08-31
1003330408 Cognitive Consults and Technology LLC Clinical Neuropsychologist 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 2017-07-28
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295223931 Maturi Medical Group LLC Internal Medicine 2751 Prosperity Ave Ste 440, Fairfax, VA 22031-4397 2018-04-27
1811256381 Silpa Poola-kella Internal Medicine 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 2012-05-03
1447518519 Kevin A Draper Internal Medicine 4702 Sandra Ln, Fairfax, VA 22030-5409 2012-04-26
1326273228 Medical Clinics of West Virginia Pllc Internal Medicine 2826 Old Lee Hwy, Ste 250, Carelife Medical, Fairfax, VA 22031-4348 2009-05-20
1932341849 Henry Dearborn Ziegler Internal Medicine 4300 Thomas Brigade Ln, Fairfax, VA 22033-4273 2009-03-25
1073791513 Benson W. Yu M.d. Pllc Internal Medicine 3601 Chain Bridge Rd Ste D, Fairfax, VA 22030-3243 2008-02-06
1255534301 Lishan Kassa Internal Medicine 10520 Judicial Drive, Medical Section, Fairfax, VA 22030 2007-06-07
1770636508 Chin Oh Kim Internal Medicine 3930 Pender Dr Ste 320, Fairfax, VA 22030-0986 2007-01-18
1063578060 Prem Manchanda Internal Medicine 4100 Orchard Dr, Fairfax, VA 22032-1021 2006-12-28
1023176153 Rona Harthill Earle Internal Medicine 3020 Hamaker Ct Ste B102, Fairfax, VA 22031-2220 2006-12-04
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Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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