Organization Active NPI

Northern Virginia Pelvic Surgery Associates, PC

  • Gynecologic Oncology Physician
  • Fairfax, VA
National Provider Identifier
1164638490
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC
Practice address
8081 Innovation Park Dr Ste 775
Fairfax, VA 22031-4867
Phone
(571) 308-1830
Fax
(571) 308-1843
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Annette Bicher, M.D.
Title
Physician/President
Phone
(571) 308-1830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 775
Fairfax, VA 22031-4867

Mailing address

8081 Innovation Park Dr Ste 775
Fairfax, VA 22031-4867
Phone (571) 308-1830

Other identifiers 1

IdentifierTypeStateIssuer
2014107550MedicaidVA

Other names 1

  • Mid Atlantic Gynecologic Oncology and Pelvic Surgery Asso Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0675151Northern Virginia Pelvic Surgery Assoc Dba Magopsa8081 Innovation Park Drive, Suite 775, Fairfax, VA 22031Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 530
Chevy Chase, MD 20815
Phone (301) 654-6001

5530 Wisconsin Ave
North Chevy Chase, MD 20815
Phone (301) 907-0002

110 Hospital Rd
Ste 112
Prince Frederick, MD 20678
Phone (410) 414-9116

44055 Riverside Pkwy
Ste 102
Leesburg, VA 20176
Phone (703) 858-1500

1800 Town Center Dr
Ste 311
Reston, VA 20190
Phone (301) 244-0148

400 Campus Blvd
Ste 210
Winchester, VA 22601
Phone (540) 536-3470

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1164638490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 775",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-308-1830",
            "fax_number": "571-308-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 775",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-308-1830",
            "fax_number": "571-308-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "BICHER",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "571-308-1830",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014107550",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Gynecologic Oncology and Pelvic Surgery Asso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.