Active NPI
Joel W. Match, MD. PC
- Gynecology Physician
- Reston, VA
National Provider Identifier
1124043377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101040957
- Legal business name
- JOEL W. MATCH, MD. PC
- Practice address
- 1850 Town Center Pkwy
Suite 207
Reston, VA 20190-3219 - Phone
- (703) 587-7222
- NPI assigned
- Jul 12, 2006
- 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. Joel W. Match, M.D.
- Title
- President
- Phone
- (703) 587-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101040957 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy
Suite 207
Reston, VA 20190-3219
Mailing address
1850 Town Center Pkwy
#207
Reston, VA 20190-3219
Phone (703) 587-7222
National Provider Directory
National Provider DirectoryLocations
2440 M St NW
#503
Washington, DC 20037
Phone (202) 429-1777
1850 Town Center Pkwy
#207
Reston, VA 20190
Phone (703) 478-9390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353283200000",
"number": "1124043377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"address_2": "#207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-587-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"address_2": "SUITE 207",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-587-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL W. MATCH, MD. PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-12",
"last_updated": "2012-11-19",
"status": "A",
"authorized_official_last_name": "MATCH",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-587-7222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101040957",
"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 Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.