Women'S Choice OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101261606 Issued in VA

Legal business name

WOMEN'S CHOICE OBGYN LLC

Practice address

10875 Main St Ste 210
Fairfax, VA 22030-4732

Phone

(703) 665-8248

Fax

(703) 665-8248

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mitra Zameni, MDNPI 1609147115

Title

Managing Member

Phone

(703) 218-2403

Specialties & licenses 1

Addresses

Other names 1

• Main Street OBGyn Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitra Zameni, MD

  • Obstetrics & Gynecology Physician
  • Fairfax, VA
  • NPI 1609147115

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1215439526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 VERRET DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306095",
            "telephone_number": "703-218-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 MAIN ST STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304732",
            "telephone_number": "703-665-8248",
            "fax_number": "703-665-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CHOICE OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "ZAMENI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "703-218-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101261606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street OBGyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pierre P Wolfe, M.D.
• Madeline R Wolfert, MD
• Jesusa Wolgamotti
• Laura Leigh Wolok, R.D., C.D.E.
• Melissa Nicole Womble, PHD
• Womens Health Associates P.C.
• Jemoon Won
• Alissa Levine Wong, DNP, FNP-C
• Derek Wong, FNP-C
• Marisa Wong, FNP

• Obstetrics & Gynecology Physician in Fairfax, VA
• Providers in Fairfax, 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 Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.