Active NPI
OBGYN Consultants of Fairfax VA LLC
- Obstetrics & Gynecology Physician
- Great Falls, VA
National Provider Identifier
1629357496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OBGYN CONSULTANTS OF FAIRFAX VA LLC
- Practice address
- 10351 Elizabeth St
Great Falls, VA 22066-2922 - Phone
- (301) 714-1802
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawana Mufti, MD
- Title
- Owner
- Phone
- (301) 714-1801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
10351 Elizabeth St
Great Falls, VA 22066-2922
Mailing address
10351 Elizabeth St
Great Falls, VA 22066-2922
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8706/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1215197066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1629357496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10351 ELIZABETH ST",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220662922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10351 ELIZABETH ST",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220662922",
"telephone_number": "301-714-1802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBGYN CONSULTANTS OF FAIRFAX VA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "MUFTI",
"authorized_official_first_name": "SHAWANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-714-1801",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.