OBGYN OF VIRGINIA, LLC (NPI# 1144631276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144631276 |
| Entity Type | Organization |
| Organization Name | OBGYN OF VIRGINIA, LLC |
| Practice Address |
3930 Pender Dr Suite 60 Fairfax VA 22030-0985 |
| Mailing Address |
10351 Elizabeth St Great Falls VA 22066-2922 |
| Practice Telephone | 5712490717 |
| Mailing Telephone | 5712490717 |
| Mailing Fax Number | 7038654167 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | SHAWANA MUFTI (OWNER) |
| Authorized Official Telephone | 5712490717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
0101241302 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1023237997 | 05 |
| Street Address |
3930 PENDER DR SUITE 60 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-0985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088941 | Aram Orthopaedics, P.C. | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2005-07-29 |
| 1003283938 | Mid Atlantic Pain Management, LLC | Anesthesiology | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0985 | 2015-08-26 |
| 1205212933 | Dermatology of Virginia | Dermatology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2015-08-04 |
| 1265829253 | Anna Rich | Hearing Instrument Specialist | 3930 Pender Dr, Ste 140, Fairfax, VA 22030-0985 | 2015-04-17 |
| 1710381660 | Kenneth J Kim, M.d., P.C. | Clinic/Center | 3930 Pender Dr, Suite 330, Fairfax, VA 22030-0985 | 2014-10-21 |
| 1154769040 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3930 Pender Dr, Suite 210, Fairfax, VA 22030 | 2013-06-12 |
| 1144569732 | Lyle Joseph Ritch | Physician Assistant | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2013-02-03 |
| 1922356054 | Fairfax Loudoun Obgyn, Inc | Obstetrics & Gynecology | 3930 Pender Dr, Suite 210, Fairfax, VA 22030-0985 | 2012-08-21 |
| 1073887741 | Saman Madani Dmd & Shadi Shareghi Dds PC | Dentist | 3930 Pender Dr, Suite #250, Fairfax, VA 22030-0985 | 2012-02-28 |
| 1598085722 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 | 2010-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164638490 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | 2007-05-15 |
| 1023237997 | Shawana Mufti | Obstetrics & Gynecology | 3930 Pender Dr, Suite 60, Fairfax, VA 22030-2917 | 2007-04-25 |
| 1497812184 | Meg Elizabeth Ryan | Obstetrics & Gynecology | 8316 Arlington Blvd Ste 610, Fairfax, VA 22031-5204 | 2007-01-02 |
| 1154435063 | Mi Yong Kim | Obstetrics & Gynecology | 10400 Eaton Place, Ste 515, Fairfax, VA 22030 | 2006-08-18 |
| 1275520363 | Joanne Herrman | Obstetrics & Gynecology | 8324 Professional Hill Dr, Fairfax, VA 22031-4611 | 2005-10-04 |
| 1942868500 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 3580 Joseph Siewick Dr Ste 403, Fairfax, VA 22033-1764 | 2019-05-30 |
| 1952517997 | Daniel J Noonan | Obstetrics & Gynecology | 3915 Old Lee Hwy, Unit 21c, Fairfax, VA 22030-2432 | 2007-05-15 |
| 1447266572 | Margaret Davis | Obstetrics & Gynecology | 8550 Arlington Blvd, #201, Fairfax, VA 22031-4634 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530435 | Center for Endometriosis and Advanced Pelvic Surgery | Obstetrics & Gynecology | 6801 Whittier Ave Ste 301, Mc Lean, VA 22101-4549 | 2020-05-20 |
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1730589458 | Drs Moore & Stockstill PC | Obstetrics & Gynecology | 5104 Bernard Dr, Suite 301, Roanoke, VA 24018-4349 | 2014-08-29 |
| 1649694993 | Carol Ciofalo | Obstetrics & Gynecology | 5209 11th Rd N, Arlington, VA 22205-2424 | 2014-02-06 |
| 1063754554 | Westhampton Health and Wellness LLC | Obstetrics & Gynecology | 2000 Bremo Rd # 205a, Richmond, VA 23226-2440 | 2013-03-22 |
| 1316212889 | Lisa Ruth Himmelstein | Obstetrics & Gynecology | 2515 Londonderry Rd, Alexandria, VA 22308-2332 | 2012-03-17 |
| 1265700769 | Jerome Frank Strauss IIi | Obstetrics & Gynecology | 2805 Monument Ave Apt 3, Richmond, VA 23221-1737 | 2011-12-12 |
| 1548592397 | Womens Health and Wellness LLC | Obstetrics & Gynecology | 6506 Main St, Gloucester, VA 23061-6103 | 2010-02-04 |
| 1467686907 | Millennium Gynecology P.l.l.c. | Obstetrics & Gynecology | 3359 Roundtree Estates Ct, Falls Church, VA 22042-3550 | 2009-05-12 |
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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.