Active NPI
Center for Endometriosis and Advanced Pelvic Surgery
- Gynecology Physician
- MC Lean, VA
National Provider Identifier
1013530435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaby Moawad, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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 DirectoryPractitioners & 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.