Active NPI
Virginia Womens Center for Aesthetics
- Ambulatory Surgical Clinic/Center
- Leesburg, VA
National Provider Identifier
1093344210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VIRGINIA WOMENS CENTER FOR AESTHETICS
- Practice address
- 19490 Sandridge Way Ste 360
Leesburg, VA 20176-3467 - Phone
- (703) 858-5399
- Fax
- (703) 858-5699
- NPI assigned
- Apr 8, 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
- Dr. Jack Ayoub, MD
- Title
- Ceo and President
- Phone
- (703) 858-5399
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
19490 Sandridge Way Ste 360
Leesburg, VA 20176-3467
Mailing address
19490 Sandridge Way Ste 360
Leesburg, VA 20176-3467
Phone (703) 858-5399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790836690 | Other | VA | JACK PETE AYOUB |
| 1942440953 | Other | VA | VIRGINIA OBSTETRICS & GYNECOLOGY PC |
Other names 1
- Virginia Gynecology Surgical Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 000009950 | Health Information Exchange (HIE) | Virginia Obstetrics & Gynecology PC |
National Provider Directory
National Provider DirectoryLocations
19490 Sandridge Way
Ste 360
Leesburg, VA 20176
Phone (703) 858-5399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Leesburg, VA
- NPI 1790836690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1093344210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19490 SANDRIDGE WAY STE 360",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763467",
"telephone_number": "703-858-5399",
"fax_number": "703-858-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19490 SANDRIDGE WAY STE 360",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763467",
"telephone_number": "703-858-5399",
"fax_number": "703-858-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA WOMENS CENTER FOR AESTHETICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-08",
"last_updated": "2023-11-27",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "AYOUB",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "CEO AND PRESIDENT",
"authorized_official_telephone_number": "703-858-5399",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JACK PETE AYOUB",
"identifier": "1790836690",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA OBSTETRICS & GYNECOLOGY PC",
"identifier": "1942440953",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "000009950",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "Virginia Obstetrics & Gynecology PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "19490 Sandridge Way Ste 360",
"city": "Leesburg",
"state": "VA",
"country_code": "US",
"postal_code": "201763467",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Virginia Gynecology Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Leesburg, VA
- Virginia Mission Health Acquisition LLC
- Virginia Oak Counseling, LLC
- Virginia Obstetrics & Gynecology PC
- Virginia Regional Oral Surgery Associates
- Virginia Run Foot & Ankle LLC
- Jazleen Virk, DPT, PT
- Pranav Virmani, MD
- Catherine M Visintainer, MD
- Visiting Eyecare LLC
- Vita Family Medicine and Medspa LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.