Thiara Group, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101250955 Issued in VA

Legal business name

THIARA GROUP, INC

Practice address

11464 Orchard LN
Reston, VA 20190-4435

Phone

(203) 673-9656

NPI assigned

Apr 6, 2015

Last updated

Apr 6, 2015By 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

Jasser Thiara, MDNPI 1053562009

Title

Owner

Phone

(203) 673-9656

Specialties & licenses 1

Addresses

Locations

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.

• Jasser Thiara, M.D.

  • Obstetrics & Gynecology Physician
  • Centreville, VA
  • NPI 1053562009
  Authorized official Same address or phone

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1588059620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11464 ORCHARD LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11464 ORCHARD LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904435",
            "telephone_number": "203-673-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIARA GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "THIARA",
        "authorized_official_first_name": "JASSER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-673-9656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101250955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Reston, VA
• Providers in Reston, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.