Organization Active NPI

Virginia Womens Center for Aesthetics

  • Ambulatory Surgical Clinic/Center
  • Leesburg, VA
National Provider Identifier
1093344210
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Jack Ayoub, MDNPI 1790836690
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790836690OtherVAJACK PETE AYOUB
1942440953OtherVAVIRGINIA OBSTETRICS & GYNECOLOGY PC

Other names 1

  • Virginia Gynecology Surgical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 000009950 Health Information Exchange (HIE) Virginia Obstetrics & Gynecology PC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.