Organization Active NPI

Synchrony Health Virginia

  • Surgery Physician
  • Reston, VA
National Provider Identifier
1649563099
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Dec 12, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.