Phyllis G Waxman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101046896 Issued in VA

Practice address

407 N. Washington Street
Ste. 100
Falls Church, VA 22046

Phone

(703) 237-5919

Fax

(703) 241-1863

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1720068216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N. WASHINGTON STREET",
            "address_2": "STE. 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22046",
            "telephone_number": "703-237-5919",
            "fax_number": "703-241-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N. WASHINGTON STREET",
            "address_2": "STE. 100",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22046",
            "telephone_number": "703-237-5919",
            "fax_number": "703-241-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "PHYLLIS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101046896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006730604",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ryan Watson, DPT, ATC
• Nevada Watson
• Thomas F Watson Jr., DC
• Gabrielle Waugaman
• Richard Waugh
• Jessica Wears, RBT
• Shannon Weatherly, DO
• Melissa B Weaver, PT
• Kerri Kramer Webb, MSPT, DPT
• Meredith Marlinda Webb, M.D.

• Pediatrics Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.