NPIMap

Organization Active NPI

Virginia Pathology SVCS PC

  • Dermatopathology (Pathology) Physician
  • Alexandria, VA
National Provider Identifier
1548339682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
0101033048 Issued in VA
Legal business name
VIRGINIA PATHOLOGY SVCS PC
Practice address
6121 Lincolnia Rd
Suite 108
Alexandria, VA 22312
Phone
(703) 256-2962
Fax
(703) 256-3608
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Greiss Roushdy, MDNPI 1669599049
Title
Dr President
Phone
(703) 256-2962

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
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X 0101033048 VA Primary

Addresses

Primary practice location

6121 Lincolnia Rd
Suite 108
Alexandria, VA 22312

Mailing address

6121 Lincolnia Rd
Suite 108
Alexandria, VA 22312
Phone (703) 256-2962

Other identifiers 6

IdentifierTypeStateIssuer
284543OtherANTHEM
6365OtherDCBCBS
6605435MedicaidVA
OR66MGOtherMDBC-BS
92412OtherNCPPO
9845919OtherCIGNA

National Provider Directory

National Provider Directory

Locations

6121 Lincolnia Rd
Ste 108
Alexandria, VA 22312
Phone (703) 256-2962

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548339682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 LINCOLNIA RD",
            "address_2": "SUITE 108",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22312",
            "telephone_number": "703-256-2962",
            "fax_number": "703-256-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 LINCOLNIA RD",
            "address_2": "SUITE 108",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22312",
            "telephone_number": "703-256-2962",
            "fax_number": "703-256-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PATHOLOGY SVCS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSHDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GREISS",
        "authorized_official_title_or_position": "DR PRESIDENT",
        "authorized_official_telephone_number": "703-256-2962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "VA",
            "license": "0101033048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "284543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6365",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6605435",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "OR66MG",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "92412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9845919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.