Organization Active NPI

Evergreen OB/GYN P.C.

  • Obstetrics & Gynecology Physician
  • Annandale, VA
National Provider Identifier
1205853983
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101032935 Issued in VA
Legal business name
EVERGREEN OB/GYN P.C.
Practice address
4328 Evergreen LN
Suite E
Annandale, VA 22003-3257
Phone
(703) 941-5070
Fax
(703) 941-8955
NPI assigned
Jul 17, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Thuy N Ho, M.D.NPI 1912208349
Title
Physician
Phone
(703) 941-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101032935 VA Primary

Addresses

Primary practice location

4328 Evergreen LN
Suite E
Annandale, VA 22003-3257

Mailing address

4330 Evergreen LN Ste F
Annandale, VA 22003-3258
Phone (703) 941-5070

National Provider Directory

National Provider Directory

Locations

4328 Evergreen Ln
Ste E
Annandale, VA 22003
Phone (703) 941-5070

4330 Evergreen Ln
Ste F
Annandale, VA 22003

4330 Evergreen Ln
Ste G
Annandale, VA 22003
Phone (703) 941-5070

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1205853983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 EVERGREEN LN STE F",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033258",
            "telephone_number": "703-941-5070",
            "fax_number": "703-941-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 EVERGREEN LN",
            "address_2": "SUITE E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033257",
            "telephone_number": "703-941-5070",
            "fax_number": "703-941-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN OB/GYN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "THUY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-941-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101032935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.