Organization Active NPI

Nova Women's Healthcare Inc

  • Specialist
  • Fairfax, VA
National Provider Identifier
1417965450
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NOVA WOMEN'S HEALTHCARE INC
Practice address
10400 Eaton PL Ste 515
Fairfax, VA 22030-2234
Phone
(703) 691-4141
Fax
(703) 591-5663
NPI assigned
Aug 4, 2006
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mi Yong KimNPI 1154435063
Title
Owner/President
Phone
(703) 691-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

10400 Eaton PL Ste 515
Fairfax, VA 22030-2234

Mailing address

10400 Eaton PL Ste 515
Fairfax, VA 22030-2234
Phone (703) 691-4141

National Provider Directory

National Provider Directory

Locations

10400 Eaton Pl
Ste 515
Fairfax, VA 22030
Phone (703) 691-4141

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1417965450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 515",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302234",
            "telephone_number": "703-691-4141",
            "fax_number": "703-591-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 515",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302234",
            "telephone_number": "703-691-4141",
            "fax_number": "703-591-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WOMEN'S HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MI YONG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-691-4141"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.