Piedmont Otolaryngology Head & Neck Surgery

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIEDMONT OTOLARYNGOLOGY HEAD & NECK SURGERY

Practice address

8303 Arlington Blvd Ste 203
Fairfax, VA 22031-2903

Phone

(703) 573-3177

Fax

(703) 573-3780

NPI assigned

Jan 15, 2009

Last updated

Nov 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gopesh K Sharma, M.DNPI 1194822783

Title

President

Phone

(703) 573-3177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 2

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.

• Gopesh Kumar Sharma, M.D

  • Otolaryngology Physician
  • Fairfax, VA
  • NPI 1194822783

  DC

  Medicare reassignment NPD Authorized official
• Wei Liu, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1215957899
  NPD (past)

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1477790228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-3177",
            "fax_number": "703-573-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 ARLINGTON BLVD STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312903",
            "telephone_number": "703-573-3177",
            "fax_number": "703-573-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT OTOLARYNGOLOGY HEAD & NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "GOPESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-573-3177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Ann Piatczyc, SLP
• Carol Lynn Piatt, M.D.
• Kim Picinich, MA, ED.S
• Deborah Pickell
• Laura Pickford, M.D.
• Piedmont Wellness Medical Group PC
• Kathleen Ellen Pieper, PT
• Julia E Pierce, OD
• Laura Dray Pierce, D.D.S.
• Monica Pierce

• Clinic/Center in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.