Organization Active NPI

Joel W. Match, MD. PC

  • Gynecology Physician
  • Reston, VA
National Provider Identifier
1124043377
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101040957 Issued in VA
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

Updated by the provider on Nov 19, 2012

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.