Active NPI
The Physician and Midwife Collaborative Practice
- Obstetrics & Gynecology Physician
- Arlington, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101026374
- Legal business name
- THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE
- Practice address
- 3803 Fairfax Dr
500
Arlington, VA 22203-5860 - Phone
- (703) 922-3434
- NPI assigned
- Apr 30, 2013
- Last updated
- Apr 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Giammittorio, MD
- Title
- Ceo
- Phone
- (703) 490-9620
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101026374 | VA | Primary |
Addresses
Primary practice location
3803 Fairfax Dr
500
Arlington, VA 22203-5860
Mailing address
4660 Kenmore Ave
902
Alexandria, VA 22304-1313
Phone (703) 370-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226001221 | DC | Part B Supplier - Clinic/Group Practice | 0648166405 |
Receives reassigned benefits from 39 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alexandria, VA; Arlington, VA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1073799839
O20040226001221
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1083899488
O20040226001221
-
- Obstetrics Physician
- Alexandria, VA
- NPI 1831310820
O20040226001221
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2060191 | Physician and Midwife Collaborative Practice ,the | Provider-performed microscopy | Jun 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- The Physician and Midwife Collaborative Practice
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Midwife
- Alexandria, VA
- NPI 1598976094
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1083899488
-
- Obstetrics Physician
- Alexandria, VA
- NPI 1831310820
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1205916392
-
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
- NPI 1053843516
-
- Obstetrics & Gynecology Physician
- Alexandria, VA
- NPI 1992879522
-
- Advanced Practice Midwife
- Fairfax, VA
- NPI 1447785654
-
- Advanced Practice Midwife
- NPI 1356960280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367280000000",
"number": "1750726089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE",
"address_2": "902",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041313",
"telephone_number": "703-370-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 FAIRFAX DR",
"address_2": "500",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222035860",
"telephone_number": "703-922-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PHYSICIAN AND MIDWIFE COLLABORATIVE PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A",
"authorized_official_last_name": "GIAMMITTORIO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "703-490-9620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101026374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
- The Endocrinology Group, PLLC
- The George Washington University Medical Center
- The Milkmaid LLC
- The Momager Collective (Ceremonia School)
- The Montgomery Medical Clinic (Capitol Travel Medicine)
- The Renascence Group PLLC
- The Retina Group of Washington, PLLC
- The Revival Reserve
- The Shift With Dr. Ellen (Body Harmony of Arlington)
- The Teal Center for Therapeutic Bodywork, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.