NPIMap

Organization Active NPI

P Jean Drew MD PLC

Doing business as Woodson Family Practice

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1679625248
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101046952 Issued in VA
Legal business name
P JEAN DREW MD PLC
Doing business as
Woodson Family Practice
Practice address
9683 A Main Street
Woodson Square
Fairfax, VA 22031-3755
Phone
(703) 426-4900
Fax
(703) 426-4955
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
P Jean Drew, MD
Title
Physician Owner
Phone
(703) 426-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101046952 VA Primary

Addresses

Primary practice location

9683 A Main Street
Woodson Square
Fairfax, VA 22031-3755

Mailing address

9683 A Main Street
Woodson Square
Fairfax, VA 22031-3755
Phone (703) 426-4900

Other names 1

  • Woodson Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

9683A Main St
Fairfax, VA 22031
Phone (703) 426-4900

Practitioners & affiliated clinicians

Practitioners 2

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1679625248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9683 A MAIN STREET",
            "address_2": "WOODSON SQUARE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313755",
            "telephone_number": "703-426-4900",
            "fax_number": "703-426-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9683 A MAIN STREET",
            "address_2": "WOODSON SQUARE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313755",
            "telephone_number": "703-426-4900",
            "fax_number": "703-426-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P JEAN DREW MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "703-426-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodson Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2007; 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.