Organization Active NPI

Merrifield OB/GYN. P.C.

  • Obstetrics & Gynecology Physician
  • Fairfax, VA
National Provider Identifier
1659487098
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101056854 Issued in VA
Legal business name
MERRIFIELD OB/GYN. P.C.
Practice address
2826 Old Lee Hwy
Suite 306
Fairfax, VA 22031-4346
Phone
(703) 204-0555
Fax
(703) 204-0544
NPI assigned
Aug 21, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hyunki Shin, MDNPI 1679677165
Title
President
Phone
(703) 204-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101056854 VA Primary

Addresses

Primary practice location

2826 Old Lee Hwy
Suite 306
Fairfax, VA 22031-4346

Mailing address

2826 Old Lee Hwy
Suite 306
Fairfax, VA 22031-4323
Phone (703) 204-0555

National Provider Directory

National Provider Directory

Locations

2826 Old Lee Hwy
Ste 306
Fairfax, VA 22031
Phone (703) 204-0555

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1659487098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314323",
            "telephone_number": "703-204-0555",
            "fax_number": "703-204-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 OLD LEE HWY",
            "address_2": "SUITE 306",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314346",
            "telephone_number": "703-204-0555",
            "fax_number": "703-204-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIFIELD OB/GYN. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "HYUNKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-204-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101056854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.