MELODI LYNETTE WILSON


Address: 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710
Phone: 7033911500

MELODI LYNETTE WILSON (NPI# 1184773095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184773095
Entity Type Individual
Full Name MELODI LYNETTE WILSON
Credential M.D.
Practice Address 3650 Joseph Siewick Dr
Suite 203
Fairfax
VA 22033-1710
Mailing Address 2028 Opitz Blvd
Suite One
Woodbridge
VA 22191-3306
Practice Telephone 7033911500
Practice Fax Number 7038601549
Mailing Telephone 7036902295
Mailing Fax Number 7036906445
Enumeration Date 2007-01-09
Last Update Date 2015-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 0101235867 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 3650 JOSEPH SIEWICK DR
SUITE 203
City FAIRFAX
State VA
Zip Code 22033-1710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871596692 Noemi S. Dosova Pediatrics 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 2005-05-24
1215546395 Ryan Lawson Nurse Practitioner 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2020-07-24
1043842503 Shereen A Robinson Nurse Practitioner 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2020-02-12
1700373982 Brenda D Carpenter Pharmacist 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2018-04-13
1487194262 Molly Boyer Broache Nurse Practitioner 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 2017-02-28
1649714155 About Care Gyn Associates, Pllc Clinic/Center 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 2016-12-19
1407209307 Tara Lynne Kiser Nurse Practitioner 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 2016-07-15
1003266552 Thuy Phuong Thi Vo Family Medicine 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 2016-06-15
1760897342 Melissa Suzanne Rogina Advanced Practice Midwife 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 2014-06-23
1104230929 Clare Gosek Family Medicine 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
1386137271 Ammar Orthodontics Pllc Dentist 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 2018-06-14
1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
1659721363 John Du Od PC Optometrist 12618 Victoria Station Ct, Fairfax, VA 22033 2016-06-14
1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083103592 Premier Ob/gyn Associates LLC Obstetrics & Gynecology 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 2018-05-09
1215439526 Women's Choice Obgyn LLC Obstetrics & Gynecology 10875 Main St Ste 210, Fairfax, VA 22030-4732 2018-03-02
1871019323 Ntmt Group Obstetrics & Gynecology 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 2017-08-16
1750731063 Rachel Bridge Obstetrics & Gynecology 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 2016-06-16
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1609147115 Mitra Zameni Obstetrics & Gynecology 10875 Main Street Suit 210, Fairfax, VA 22030 2012-01-16
1891951802 Ankit Shah Obstetrics & Gynecology 3020 Hamaker Ct Ste 501, Fairfax, VA 22031-2220 2008-07-30
1659555431 Womens Health Associates P.C. Obstetrics & Gynecology 3020 Hamaker Ct Ste B105, Fairfax, VA 22031-2236 2007-12-28
1477751030 Karen R Maser Md LLC Obstetrics & Gynecology 8505 Arlington Blvd #410, Fairfax, VA 22031 2007-07-05
1386840791 Northern Virginia Obgyn Associates, Ltd. Obstetrics & Gynecology 8316 Arlington Boulevard, Suite 420, Fairfax, VA 22031-5216 2007-06-22
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Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

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.

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