Premier OB/GYN Associates LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101242511 Issued in VA

Legal business name

PREMIER OB/GYN ASSOCIATES LLC

Doing business as

Modern Care OB/GYN

Practice address

3700 Joseph Siewick Dr Ste 102
Fairfax, VA 22033-1737

Phone

(202) 258-2580

NPI assigned

May 9, 2018

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Afram, MDNPI 1295938751

Title

Managing Partner

Phone

(202) 258-2580

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Modern Care OB/GYN Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Afram, MD

  • Obstetrics & Gynecology Physician
  • Manassas, VA
  • NPI 1295938751

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083103592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11118 SWEETWOOD LN",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241340",
            "telephone_number": "202-258-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 JOSEPH SIEWICK DR STE 102",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331737",
            "telephone_number": "202-258-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24430 Stone Springs Blvd Unit 250",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201662268",
            "country_code": "US",
            "telephone_number": "202-258-2580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER OB/GYN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AFRAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "202-258-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101242511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "0101242511",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295938751",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Care OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.