John W Klousia MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

JOHN W KLOUSIA MD PC

Practice address

7910 Andrus Rd
Suite 6
Alexandria, VA 22306-3171

Phone

(703) 780-5474

Fax

(703) 799-4092

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lee Klousia

Title

Wife

Phone

(703) 402-7073

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1669778080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 WOODLAND TER",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023313",
            "telephone_number": "703-402-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 ANDRUS RD",
            "address_2": "SUITE 6",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063171",
            "telephone_number": "703-780-5474",
            "fax_number": "703-799-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W KLOUSIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "KLOUSIA",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "WIFE",
        "authorized_official_telephone_number": "703-402-7073",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "127035",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010273404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.