Active NPI
Synchrony Health Virginia
- Surgery Physician
- Reston, VA
National Provider Identifier
1649563099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SYNCHRONY HEALTH VIRGINIA
- Practice address
- 1850 Town Center Pkwy
303
Reston, VA 20190-3219 - Phone
- (703) 639-5529
- Fax
- (703) 444-4308
- NPI assigned
- May 18, 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
- Info Awls
- Title
- Manager
- Phone
- (703) 639-5529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy
303
Reston, VA 20190-3219
Mailing address
PO Box 1048
Great Falls, VA 22066-9048
Phone (703) 639-5529
Other names 1
- AWLS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1649563099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1048",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220669048",
"telephone_number": "703-639-5529",
"fax_number": "703-444-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY",
"address_2": "303",
"city": "RESTON",
"state": "VA",
"postal_code": "201903219",
"telephone_number": "703-639-5529",
"fax_number": "703-444-4308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNCHRONY HEALTH VIRGINIA",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "AWLS",
"authorized_official_first_name": "INFO",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "703-639-5529"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AWLS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.