Individual provider Active NPI

William Samuel Sawchuk, M.D.

  • Dermatology Physician
  • Vienna, VA
National Provider Identifier
1205954542
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101039346 Issued in VA
Practice address
8320 Old Courthouse Rd
Suite 303
Vienna, VA 22182-3831
Phone
(703) 532-7211
Fax
(703) 534-2874
NPI assigned
Mar 26, 2007
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101039346 VA Primary

Addresses

Primary practice location

8320 Old Courthouse Rd
Suite 303
Vienna, VA 22182-3831

Mailing address

8320 Old Courthouse Rd Ste 303
Vienna, VA 22182-3883
Phone (703) 532-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101039346VAMDDermatology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205954542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD STE 303",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823883",
            "telephone_number": "703-532-7211",
            "fax_number": "703-534-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "address_2": "SUITE 303",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823831",
            "telephone_number": "703-532-7211",
            "fax_number": "703-534-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWCHUK",
        "first_name": "WILLIAM",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101039346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.