Organization Active NPI

OBGYN Consultants of Fairfax VA LLC

  • Obstetrics & Gynecology Physician
  • Great Falls, VA
National Provider Identifier
1629357496
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Oct 14, 2011

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.