Organization Active NPI

Center for Endometriosis and Advanced Pelvic Surgery

  • Gynecology Physician
  • MC Lean, VA
National Provider Identifier
1013530435
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
CENTER FOR ENDOMETRIOSIS AND ADVANCED PELVIC SURGERY
Practice address
6801 Whittier Ave Ste 301
MC Lean, VA 22101-4549
Phone
(703) 505-0444
NPI assigned
May 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gaby Moawad, MDNPI 1346416484
Title
Ceo
Phone
(202) 725-2110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

6801 Whittier Ave Ste 301
MC Lean, VA 22101-4549

Mailing address

2720 S Arlington Mill Dr Unit 804
Arlington, VA 22206-3409

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1013530435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S ARLINGTON MILL DR UNIT 804",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222063409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WHITTIER AVE STE 301",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014549",
            "telephone_number": "703-505-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ENDOMETRIOSIS AND ADVANCED PELVIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "MOAWAD",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-725-2110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.