Northern Virginia Pelvic Surgery Associates, PC
Organization Active NPI Gynecology Physician · Washington, DC
NPI 1033520697 · NPPES record last updated May 16, 2014
Key facts
- NPI
- 1033520697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gynecology Physician 207VG0400X
- Legal business name
- NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC
- Practice address
- 110 Irving St NW
Women'S Oncology Center and Cancer Institute
Washington, DC 20010-3017 - Phone
- (571) 308-1830
- Fax
- (571) 308-1843
- NPI assigned
- May 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Annette Bicher, M.D.
- Title
- President
- Phone
- (571) 308-1830
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Northern Virginia Pelvic Surgery Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician |
207VG0400X | Yes | ||
| Gynecologic Oncology Physician |
207VX0201X |
Addresses
Primary practice location
110 Irving St NW
Women'S Oncology Center and Cancer Institute
Washington, DC 20010-3017
Mailing address
3289 Woodburn Rd
Suite 320
Annandale, VA 22003-6800
Phone (571) 308-1830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616754 | Other | VA | MEDICARE |
Other names
- Mid Atlantic Gynecologic Oncology and Pelvic Surgery Associates
NPI Registry JSON
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400198400000",
"number": "1033520697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3289 WOODBURN RD",
"address_2": "SUITE 320",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036800",
"telephone_number": "571-308-1830",
"fax_number": "571-308-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"address_2": "WOMEN'S ONCOLOGY CENTER AND CANCER INSTITUTE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "571-308-1830",
"fax_number": "571-308-1843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A",
"authorized_official_last_name": "BICHER",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "571-308-1830",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "616754",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid Atlantic Gynecologic Oncology and Pelvic Surgery Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.