Organization Active NPI

Virginia Endocrinology Consultants

  • Medical Specialty Clinic/Center
  • Fairfax, VA
National Provider Identifier
1447684691
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0101235232 Issued in VA
Legal business name
VIRGINIA ENDOCRINOLOGY CONSULTANTS
Practice address
3022 Javier Rd
Suites 105G
Fairfax, VA 22031-4645
Phone
(703) 676-3433
Fax
(703) 676-3438
NPI assigned
Aug 23, 2013
Last updated
Oct 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Dr. Hazel E Bowen-Wright, M.D.NPI 1750380887
Title
Endocrinologist
Phone
(703) 676-3433

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
Medical Specialty Clinic/Center 261QM2500X 0101235232 VA Primary

Addresses

Primary practice location

3022 Javier Rd
Suites 105G
Fairfax, VA 22031-4645

Mailing address

3022 Javier Rd
Suites 105G
Fairfax, VA 22031-4645
Phone (703) 676-3433

Other identifiers 1

IdentifierTypeStateIssuer
407289800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131031001066 DC Part B Supplier - Clinic/Group Practice 6800021718 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

3022 Javier Rd
Ste 105G
Fairfax, VA 22031
Phone (703) 676-3433

8301 Arlington Blvd
Ste 308
Fairfax, VA 22031
Phone (703) 204-1169

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7124/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGAAAA

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": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1447684691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITES 105G",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-676-3433",
            "fax_number": "703-676-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 JAVIER RD",
            "address_2": "SUITES 105G",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314645",
            "telephone_number": "703-676-3433",
            "fax_number": "703-676-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA ENDOCRINOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BOWEN-WRIGHT",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "703-676-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "VA",
            "license": "0101235232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407289800",
            "state": "MD"
        }
    ],
    "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 Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.