Women Physicians of Northern Virginia, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101102474 Issued in VA

Legal business name

WOMEN PHYSICIANS OF NORTHERN VIRGINIA, PC

Practice address

46179 Westlake Dr Ste 350
Sterling, VA 20165-5882

Phone

(703) 463-9568

Fax

(703) 724-9538

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gloria J Ivey-Crowe, MD

Title

Owner

Phone

(703) 463-9568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407050719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DRIVE",
            "address_2": "SUITE 350",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201653219",
            "telephone_number": "703-463-9568",
            "fax_number": "703-724-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DR STE 350",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655882",
            "telephone_number": "703-463-9568",
            "fax_number": "703-724-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903219",
            "country_code": "US",
            "telephone_number": "703-834-1072",
            "fax_number": "703-834-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMEN PHYSICIANS OF NORTHERN VIRGINIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IVEY-CROWE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-463-9568",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101102474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Sterling, VA
• Providers in Sterling, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.