Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatrix Medical Group PC

Organization Neonatal-Perinatal Medicine Physician · NPI 1093602021

Pediatrix Medical Group PC is a Neonatal-Perinatal Medicine Physician in Fairfax, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone: (703) 391-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Audiologist Taxonomy 231H00000X

Record details

NPI number1093602021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Glaser — Assistant Secretary · (954) 384-0175
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing addressPo Box 100445, Atlanta, GA 30384-0445

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