Active NPI
Gwilym Parry MDPC
- Internal Medicine Physician
- Reston, VA
National Provider Identifier
1104352061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101041163
- Legal business name
- GWILYM PARRY MDPC
- Practice address
- 1830 Town Center Dr Ste 207
Reston, VA 20190-3236 - Phone
- (703) 435-2227
- Fax
- (703) 435-7856
- NPI assigned
- May 11, 2017
- 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
- Elaine Frater
- Title
- Billing Manager
- Phone
- (703) 435-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101041163 | VA | Primary |
Addresses
Primary practice location
1830 Town Center Dr Ste 207
Reston, VA 20190-3236
Mailing address
1830 Town Center Dr Ste 207
Reston, VA 20190-3236
Phone (703) 435-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691884800000",
"number": "1104352061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR STE 207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903236",
"telephone_number": "703-435-2227",
"fax_number": "703-435-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 TOWN CENTER DR STE 207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903236",
"telephone_number": "703-435-2227",
"fax_number": "703-435-7856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GWILYM PARRY MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2023-08-13",
"certification_date": "2023-08-13",
"status": "A",
"authorized_official_last_name": "FRATER",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "703-435-2227"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101041163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.