Organization Active NPI

Obstetrical and Gynecological Associates P C

  • Gynecology Physician
  • Sterling, VA
National Provider Identifier
1194031021
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P C
Practice address
21475 Ridgetop Cir
# 360
Sterling, VA 20166-6580
Phone
(703) 430-8844
Fax
(703) 430-3777
NPI assigned
Aug 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Ms. Lynne M Boylan
Title
Office Manager
Phone
(703) 430-8844

Specialties & licenses 1

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

Addresses

Primary practice location

21475 Ridgetop Cir
# 360
Sterling, VA 20166-6580

Mailing address

21475 Ridgetop Cir
# 360
Sterling, VA 20166-6580
Phone (703) 430-8844

National Provider Directory

National Provider Directory

Locations

1850A Town Center Pkwy
Ste 310
Reston, VA 20190
Phone (703) 481-1151

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1194031021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "# 360",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-430-8844",
            "fax_number": "703-430-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21475 RIDGETOP CIR",
            "address_2": "# 360",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666580",
            "telephone_number": "703-430-8844",
            "fax_number": "703-430-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BOYLAN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-430-8844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.