Organization Active NPI

Gilbert R Irwin MD PC

  • Specialist
  • Manassas, VA
National Provider Identifier
1306110820
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101023931 Issued in VA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Gilbert Raymond Irwin, MD.NPI 1588649990
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1588649990MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.