Organization Active NPI

Gynekon PLC

  • Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1245314319
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101046449 Issued in VA
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

Updated by the provider on Dec 1, 2007

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 0101046449 VA Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.