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

Phenom Surgical LLC

Organization Surgery Physician · NPI 1871842989

Phenom Surgical LLC is a Surgery Physician in Fairfax, Virginia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2750 Prosperity Ave #120
Fairfax, VA 22031-4312
Phone: (703) 659-4557
Fax: (703) 205-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1871842989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Hegens — Owner/Ceo · (703) 659-4557
NPI enumeratedSeptember 5, 2012
Last updated in NPPESMay 16, 2016
Mailing address8116 Arlington Blvd, 183, Falls Church, VA 22042-1002

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