Center for Continence and Pelvic Support PC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

Legal business name

CENTER FOR CONTINENCE AND PELVIC SUPPORT PC

Practice address

3289 Woodburn Rd
Suite 130
Annandale, VA 22003-6800

Phone

(571) 389-7140

Fax

(703) 992-7584

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alan Welgoss, MD

Title

President

Phone

(571) 389-7140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center For Urogynecology and Pelvic Surgery Doing business as

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1407194186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 130",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "571-389-7140",
            "fax_number": "703-992-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CONTINENCE AND PELVIC SUPPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "WELGOSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-389-7140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP PTAN",
            "identifier": "271520",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Urogynecology and Pelvic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael P Cassidy, MD
• Felix Davis Castro, M.D., FACC
• Heather Blackstock Causseaux, NP-C
• CCP Virginia Sleepy Hollow, LLC
• Cda Virginia, PLLC
• Yeohye Chai
• Louise Kay Chamberlin, MS, CCC-SLP, ATP
• Chang Advanced Chiropractic P.C.
• Chang Advanced Chiropractic P.C.
• Emily Chang, L.AC

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.