Woodbridge Anesthesia Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WOODBRIDGE ANESTHESIA GROUP INC

Practice address

14904 Jefferson Davis Hwy
Suite 103 & 104
Woodbridge, VA 22191-3908

Phone

(703) 497-4222

Fax

(703) 492-0164

NPI assigned

Apr 28, 2011

Organization subpart

Yes

Parent organization

ENDOSCOPY & DIGESTIVE CENTER OF WOODBRIDGEAs reported in NPPES

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

Authorized official

Name

Dr. Mohammad Hossein Razavi

Title

MD

Phone

(703) 497-4222

Specialties & licenses 1

Addresses

Part of

Endoscopy Digestive Center of Woodbridge

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Endoscopy & Digestive Center of Woodbridge

  • Endoscopy Clinic/Center
  • Woodbridge, VA
  • NPI 1437326816
  NPPES parent name

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1477844165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 103 & 104",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4222",
            "fax_number": "703-492-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 103 & 104",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-497-4222",
            "fax_number": "703-492-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE ANESTHESIA GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDOSCOPY & DIGESTIVE CENTER OF WOODBRIDGE",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "RAZAVI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "HOSSEIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-497-4222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Wong, RN BSN
• Amelia Volar Wonlue, OPERATING MANAGER
• Catherine Farnan Wood, PHYSICIAN ASSISTANT
• Emily Bernice Woodard, M.D.
• Lyron Woodard
• Woodbridge Cardiovascular Center
• Woodbridge Chiropractic & Pain Management
• Woodbridge Chiropractic Clinic, P.C.
• Woodbridge DDS LLC
• Woodbridge Dental Group PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.