Individual provider Active NPI

Laura E.a Gill Sealy, MD

  • Pediatric Orthopaedic Surgery Physician
  • Fairfax, VA
National Provider Identifier
1740486018
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
0101265085 Issued in VA
Practice address
3023 Hamaker CT Ste 500
Fairfax, VA 22031
Phone
(703) 876-2788
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 35.121670 OH
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101265085 VA Primary

Addresses

Primary practice location

3023 Hamaker CT Ste 500
Fairfax, VA 22031

Mailing address

3023 Hamaker CT Ste 500
Fairfax, VA 22031-2241
Phone (703) 876-2788

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-3393

Other names 1

  • Laura E.a Gill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230619001546 DC Practitioner - Orthopedic Surgery 9931343894 Reassigns benefits to 2 organizations
I20230627001179 VA Practitioner - Orthopedic Surgery 9931343894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialists of Virginia, LLC CurrentSince Feb 10, 2023 Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2023 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2023 Accepting new patients

Locations

22505 Landmark Ct
Ste 225
Ashburn, VA 20148
Phone (703) 726-1616

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

3023 Hamaker Ct
Ste 500
Fairfax, VA 22031
Phone (571) 766-3137

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660

Interoperability endpoints

  • Direct secure messaging: lgillsealy596061@soc.inova.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1740486018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312241",
            "telephone_number": "703-876-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-876-2788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-3393",
            "fax_number": "614-722-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILL SEALY",
        "first_name": "LAURA",
        "middle_name": "E.A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OH",
            "license": "35.121670",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101265085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GILL",
            "middle_name": "E.A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.