Individual provider Active NPI

Laura M Gesicki-Wood, M.D.

  • Allergy Physician
  • Springfield, VA
National Provider Identifier
1356315840
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
0101237445 Issued in VA
Practice address
8134 Old Keene Mill Rd
301
Springfield, VA 22152-1800
Phone
(703) 569-1913
Fax
(703) 569-6035
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 0101237445 VA Primary

Addresses

Primary practice location

8134 Old Keene Mill Rd
301
Springfield, VA 22152-1800

Mailing address

8134 Old Keene Mill Rd
301
Springfield, VA 22152-1800
Phone (703) 569-1913

Other identifiers 1

IdentifierTypeStateIssuer
10191734MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Center for Allergy, Asthma and Sinus, PC Allergy PastSince Nov 1, 2006 Accepting new patients
Accredited Allergy Center of Springfield, LTD PastSince Dec 28, 2005 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356315840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD",
            "address_2": "301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521800",
            "telephone_number": "703-569-1913",
            "fax_number": "703-569-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 OLD KEENE MILL RD",
            "address_2": "301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521800",
            "telephone_number": "703-569-1913",
            "fax_number": "703-569-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESICKI-WOOD",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "VA",
            "license": "0101237445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10191734",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.