The Physician and Midwife Collaborative Practice

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101026374 Issued in VA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1073799839

  O20040226001221

  Same enrollment
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1083899488

  O20040226001221

  Same enrollment
• The Physician and Midwife Collaborative Practice

  • Obstetrics Physician
  • Alexandria, VA
  • NPI 1831310820

  O20040226001221

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Physician and Midwife Collaborative Practice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Physicans and Midwives Collaborative Practice

  • Midwife
  • Alexandria, VA
  • NPI 1598976094
  NPD tax ID
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1083899488
  NPD tax ID
• The Physician and Midwife Collaborative Practice

  • Obstetrics Physician
  • Alexandria, VA
  • NPI 1831310820
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samhita Bhat, M.D.

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
  • NPI 1053843516
  NPD
• Thelma Denise Cunningham, MD

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1992879522
  NPD
• Stacy Stavlund, CNM

  • Advanced Practice Midwife
  • Fairfax, VA
  • NPI 1447785654
  NPD
• Christine McMahon, CNM

  • Advanced Practice Midwife
  • NPI 1356960280
  NPD

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP#",
            "identifier": "G00252",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• 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.

Verify at the official NPI Registry.