OrganizationActive
Fairfax Urology Associates Ltd
NPI 1073700845 · Urology Physician · Fairfax, VA
Provider details
- NPI number
- 1073700845
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Glover, Ceo Owner(703) 591-5443
- License
- 0101022555 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10875 Main St
Suite 208
Fairfax, VA 22030-4732
Phone: (703) 591-5443
Fax: (703) 591-0486
Street-level locationGet directions
Mailing address
10875 Main St
Fairfax, VA 22030-4732
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2008-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.