Organization Active NPI

About Care OBGYN Associates PC

  • Obstetrics & Gynecology Physician
  • Centreville, VA
National Provider Identifier
1225209018
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101053044 Issued in VA
Legal business name
ABOUT CARE OBGYN ASSOCIATES PC
Practice address
6134 Redwood Square Center
Unit 101
Centreville, VA 20120
Phone
(703) 222-8600
Fax
(703) 222-8972
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Ms. Lillian Marie Decosimo, MD
Title
Physician President Owner
Phone
(703) 222-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101053044 VA Primary

Addresses

Primary practice location

6134 Redwood Square Center
Unit 101
Centreville, VA 20120

Mailing address

6134 Redwood Square Center
Unit 101
Centreville, VA 20120
Phone (703) 222-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1225209018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER",
            "address_2": "UNIT 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20120",
            "telephone_number": "703-222-8600",
            "fax_number": "703-222-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 REDWOOD SQUARE CENTER",
            "address_2": "UNIT 101",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20120",
            "telephone_number": "703-222-8600",
            "fax_number": "703-222-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT CARE OBGYN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "DECOSIMO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT OWNER",
        "authorized_official_telephone_number": "703-222-8600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101053044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.