Obgynnova PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OBGYNNOVA PLLC

Practice address

6355 Walker LN Ste 408
Alexandria, VA 22310-3250

Phone

(703) 719-5901

Fax

(703) 719-9628

NPI assigned

Jun 16, 2021

Organization subpart

No

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

Authorized official

Name

Tina Pham, MDNPI 1083609309

Title

Physician

Phone

(703) 719-5901

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Tonga Pham, MD

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1083609309
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1184292963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103250",
            "telephone_number": "703-719-5901",
            "fax_number": "703-719-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103250",
            "telephone_number": "703-719-5901",
            "fax_number": "703-719-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYNNOVA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-719-5901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Obeng Manu
• Cosby Obeng-Gyimah
• Julie Oberholzer, MPH, IBCLC
• Rohan Oberoi, MD
• Obg Home Life Solutions LLC
• Eyere Obi Vera
• Chukwuemeka Frank S Obidike, PHARMD.
• Megan Macrae Obrien, LICSW
• Suzanne Obrien, CFNP
• Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)

• Obstetrics & Gynecology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.