Vascular Associates of Northern Virginia PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

0101055000 Issued in VA

Legal business name

VASCULAR ASSOCIATES OF NORTHERN VIRGINIA PC

Practice address

1760 Reston Parkway
Suite 306
Reston, VA 20190-3359

Phone

(703) 709-7610

Fax

(703) 709-7988

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Robert Stephen Podolsky, MD

Title

Physician President

Phone

(703) 709-7610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1063502169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 RESTON PARKWAY",
            "address_2": "SUITE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-709-7610",
            "fax_number": "703-709-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 RESTON PARKWAY",
            "address_2": "SUITE 306",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903359",
            "telephone_number": "703-709-7610",
            "fax_number": "703-709-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ASSOCIATES OF NORTHERN VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "PODOLSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "703-709-7610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101055000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Valeri
• Emil Frank Valle, M.D.
• Abigail F Vandivier, LPC
• Peter H. Vangeertruyden, MD
• Supriya Varma, M.D., F.A.C.O.G.
• Mark Emanuel Vasiliadis, M.D.
• Barry Vassar
• Jayne Vecchio
• Kelly H. Veenstra, MS CCC-SLP
• Advika Venkatesh

• Vascular Surgery Physician in Reston, VA
• Providers in Reston, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.