WALTER S VONPECHMANN (NPI# 1023043361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023043361 |
| Entity Type | Individual |
| Full Name | WALTER S VONPECHMANN |
| Credential | MD |
| Practice Address |
3289 Woodburn Rd Suite 130 Annandale VA 22003-6800 |
| Practice Telephone | 5713897140 |
| Practice Fax Number | 7039927584 |
| Mailing Telephone | 5713897140 |
| Mailing Fax Number | 7039927584 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
0101234937 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE ID | 012675YPA1 | 01 |
| Street Address |
3289 WOODBURN RD SUITE 130 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1710349105 | Nazaneen Nassiry | Nurse Practitioner | 3289 Woodburn Rd, 200, Annandale, VA 22003-6800 | 2016-03-24 |
| 1114399466 | Ishmail Kamara | Nurse Practitioner | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2015-10-27 |
| 1407194186 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2013-01-30 |
| 1073807996 | Aabha Jain | Internal Medicine | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2011-06-08 |
| 1255646311 | Apheresis Associates of Northern Virginia, LLC | Clinic/Center | 3289 Woodburn Rd, Suite 220, Annandale, VA 22003-6800 | 2010-08-13 |
| 1366755829 | Heather Blackstock Causseaux | Nurse Practitioner | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2010-07-26 |
| 1134449051 | Old Dominion Pathology Associates, LLC | Pathology | 3289 Woodburn Rd, Ste 220, Annandale, VA 22003-6800 | 2010-06-02 |
| 1881925311 | Reconstructive Plastic Surgery Consultants, LLC | Plastic Surgery | 3289 Woodburn Rd, Suite 245, Annandale, VA 22003-6800 | 2010-01-22 |
| 1780824367 | Shalika Basnayake Katugaha | Internal Medicine | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2009-02-23 |
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|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
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| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407194186 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2013-01-30 |
| 1407881790 | Nicolette Sigrid Horbach | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528013620 | Christopher Joseph Walshe | Obstetrics & Gynecology | 1035 Champions Way Ste 700, Suffolk, VA 23435-3763 | 2006-05-24 |
| 1497749907 | Maria Pettit Canter | Obstetrics & Gynecology | 1860 Town Center Dr Ste 140, Reston, VA 20190-5898 | 2005-09-12 |
| 1770055238 | Privia Womens Health LLC | Obstetrics & Gynecology | 7611 Forest Ave Ste 200, Richmond, VA 23229-4946 | 2018-12-21 |
| 1881019909 | Blue Ridge Urogynecology, Inc | Obstetrics & Gynecology | 3800 Electric Rd, Suite 405, Roanoke, VA 24018-4569 | 2014-02-26 |
| 1326475542 | Bon Secours Virginia Medical Group I, LLC | Obstetrics & Gynecology | 8266 Atlee Rd, Suite 219, Mechanicsville, VA 23116-1804 | 2013-10-02 |
| 1083056774 | Virginia Hospital Center Physician Group, LLC | Obstetrics & Gynecology | 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 | 2013-07-23 |
| 1417160524 | Tovia Martirosian Smith | Obstetrics & Gynecology | 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 | 2007-05-07 |
| 1942230040 | Nathan L. Guerette | Obstetrics & Gynecology | 1401 Johnston Willis Dr, Suite 1100, North Chesterfield, VA 23235-4730 | 2006-07-04 |
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| 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.