NPIMap

Organization Active NPI

The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1083899488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
Practice address
2616 Sherwood Hall LN
Suite 208
Alexandria, VA 22306-3100
Phone
(703) 780-6900
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. David Giammittorio, M.D.NPI 1205916392
Title
Ceo
Phone
(703) 370-4300

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Suite 208
Alexandria, VA 22306-3100

Mailing address

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1313
Phone (703) 370-4300

Other identifiers 1

IdentifierTypeStateIssuer
G00252OtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226001221 DC Part B Supplier - Clinic/Group Practice 0648166405 Receives reassigned benefits from 39 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alexandria, VA; Arlington, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0977680Physician-Midwife Collaborative,the2616 Sherwood Hall Lane - 2ND Floor Suite 208, Alexandria, VA 22306Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
The Physician and Midwife Collaborative Practice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083899488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 902",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-370-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "SUITE 208",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-780-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIAMMITTORIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-370-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G00252",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.