DR. LAUREN GEVANA OUTLAW (NPI# 1912193970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912193970 |
| Entity Type | Individual |
| Full Name | DR. LAUREN GEVANA OUTLAW |
| Credential | MD |
| Practice Address |
3299 Woodburn Rd Suite 350 Annandale VA 22003-1275 |
| Practice Telephone | 7032601179 |
| Practice Fax Number | 5714056234 |
| Mailing Telephone | 7032601179 |
| Mailing Fax Number | 5714056234 |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2014-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 11013256A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000873394 | 01 |
| IN | 200898630 FWO | 05 | |
| IN | ANTHEM IN - FWO | 000000675480 | 01 |
| IN | PHYSICIAN LICENSE | 01064686A | 01 |
| IN | ANTHEM IN - BMA | 000000675487 | 01 |
| IN | 200898630 | 05 |
| Street Address |
3299 WOODBURN RD SUITE 350 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519146 | John Douglas Wooddell | Dentist | 3299 Woodburn Rd, Ste 440, Annandale, VA 22003-7329 | 2005-06-23 |
| 1962904987 | Sleepmed, Inc. | Clinic/Center | 3299 Woodburn Rd, Annandale, VA 22003 | 2018-03-06 |
| 1669845715 | Elizabeth Marian Lewis | Nurse Practitioner | 3299 Woodburn Rd, Suite 230, Annandale, VA 22003-1275 | 2015-11-10 |
| 1467838748 | Andrew Mann | Physical Therapist | 3299 Woodburn Rd, Suite 310, Annandale, VA 22003-1275 | 2015-08-10 |
| 1558641050 | Gail J Freeman | Nurse Practitioner | 3299 Woodburn Rd, Suite 480, Annandale, VA 22003-1275 | 2011-08-29 |
| 1487981049 | Meghan Bates | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2009-11-03 |
| 1215173208 | Kathy E. Wolf, M.d., P.C. | Obstetrics & Gynecology | 3299 Woodburn Rd, Suite 350, Annandale, VA 22003-1275 | 2008-12-23 |
| 1528211240 | John D. Doppelheuer M.d. PC | Specialist | 3299 Woodburn Rd, Suite 370, Annandale, VA 22003-1275 | 2008-10-25 |
| 1265607733 | Justine H Kraus | Physical Therapist | 3299 Woodburn Rd, Suite 180, Annandale, VA 22003-1275 | 2008-04-25 |
| 1487826491 | Anne M Nickodem | Plastic Surgery | 3299 Woodburn Rd, Suite 340, Annandale, VA 22003-1275 | 2008-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588953780 | Elham Waheeda Altaf | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2011-03-29 |
| 1912208349 | Thuy Nguyen Ho | Obstetrics & Gynecology | 4328 E Evergreen Lane, Annandale, VA 22003 | 2010-11-17 |
| 1487988648 | Misuk Kim Md Obgyn Plc | Obstetrics & Gynecology | 4304 Evergreen Ln, Ste 104, Annandale, VA 22003-3216 | 2009-09-21 |
| 1508017716 | Misuk Agnes Kim | Obstetrics & Gynecology | 4308 Evergreen Ln, Ste F, Annandale, VA 22003-3276 | 2008-10-07 |
| 1205853983 | Evergreen Ob/gyn P.C. | Obstetrics & Gynecology | 4328 Evergreen Ln, Suite E, Annandale, VA 22003-3257 | 2006-07-17 |
| 1750879995 | Loudoun Medical Group, P.C. | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2018-04-24 |
| 1588019723 | Said Ali, M.d., P.C. | Obstetrics & Gynecology | 3301 Woodburn Rd, Suite 307, Annandale, VA 22003-1229 | 2016-04-25 |
| 1487917126 | Margaret Strickland | Obstetrics & Gynecology | 3299 Woodburn Rd Ste 350, Annandale, VA 22003-7321 | 2012-06-18 |
| 1861759227 | Jessica Lauren Sommer | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2012-04-23 |
| 1215173208 | Kathy E. Wolf, M.d., P.C. | Obstetrics & Gynecology | 3299 Woodburn Rd, Suite 350, Annandale, VA 22003-1275 | 2008-12-23 |
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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.