Active NPI
Gilbert R Irwin MD PC
- Specialist
- Manassas, VA
National Provider Identifier
1306110820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101023931
- Legal business name
- GILBERT R IRWIN MD PC
- Practice address
- 9590 Surveyor Court
Manassas, VA 20110-4406 - Phone
- (703) 361-5116
- NPI assigned
- Mar 1, 2012
- Last updated
- Mar 20, 2012
- 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
- Dr. Gilbert Raymond Irwin, MD.
- Title
- Preident
- Phone
- (703) 361-5116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101023931 | VA | Primary |
Addresses
Primary practice location
9590 Surveyor Court
Manassas, VA 20110-4406
Mailing address
9590 Surveyor Court
Manassas, VA 20110-4406
Phone (703) 361-5116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588649990 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Manassas, VA
- NPI 1588649990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332201600000",
"number": "1306110820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9590 SURVEYOR COURT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104406",
"telephone_number": "703-361-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9590 SURVEYOR COURT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104406",
"telephone_number": "703-361-5116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILBERT R IRWIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-20",
"status": "A",
"authorized_official_last_name": "IRWIN",
"authorized_official_first_name": "GILBERT",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PREIDENT",
"authorized_official_telephone_number": "703-361-5116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101023931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588649990",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.