Active NPI
Gynekon PLC
- Gynecology Physician
- Alexandria, VA
National Provider Identifier
1245314319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101046449
- Legal business name
- GYNEKON PLC
- Practice address
- 6355 Walker LN
Suite 500
Alexandria, VA 22310-3245 - Phone
- (703) 822-9370
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rozanne Genyve Evinda Bentt, MD
- Title
- Member
- Phone
- (703) 822-9370
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101046449 | VA | Primary |
| Gynecology Physician | 207VG0400X | D0059703 | MD |
Addresses
Primary practice location
6355 Walker LN
Suite 500
Alexandria, VA 22310-3245
Mailing address
PO Box 751916
Las Vegas, NV 89136-1916
Phone (703) 822-9370
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196467200000",
"number": "1245314319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751916",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891361916",
"telephone_number": "703-822-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 WALKER LN",
"address_2": "SUITE 500",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103245",
"telephone_number": "703-822-9370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNEKON PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2007-12-01",
"status": "A",
"authorized_official_last_name": "BENTT",
"authorized_official_first_name": "ROZANNE",
"authorized_official_middle_name": "GENYVE EVINDA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "703-822-9370",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101046449",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0059703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.