Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN M MCDONOUGH, PA
Active Sole ProprietorSEAN M MCDONOUGH, PA is a Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1700418175 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX, VA
Registration Details
- NPI Number
- 1700418175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2020 (6.5194368221257 yrs)
- Last Updated
- Apr 20, 2021
- License
-
0110007777 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8100 INNOVATION PARK DR # 110FAIRFAX, VA, 220314870Browse VA providers · Browse ZIP 22031
- Phone
- 7039706464
- Fax
- 5714146941
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DAMON J LICARI | PA | 1962495069 |
| MRS. JULIE B CROCKER | PA | 1346235843 |
| SORAYA YUNUS | P.A. | 1285620567 |
| MR. PAUL DAVID FALKENSTEIN | PAC | 1558337048 |
| STEPHANIE ANNE SHEPARD | PA | 1396705174 |
| MAGGIE LYNN IPSARO | PA-C | 1376509109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.