Pelex Medical of Virginia

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PELEX MEDICAL OF VIRGINIA

Practice address

931 Douglass Dr
MC Lean, VA 22101-1572

Phone

(703) 215-2467

NPI assigned

Dec 2, 2022

Organization subpart

No

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

Authorized official

Name

Erin Wolff, MD

Title

Ceo, Founder

Phone

(703) 215-2467

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1770293433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 DOUGLASS DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221011572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 DOUGLASS DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221011572",
            "telephone_number": "703-215-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELEX MEDICAL OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO, FOUNDER",
        "authorized_official_telephone_number": "703-215-2467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.fertilitypro.com",
            "affiliation": "N",
            "endpointDescription": "online chart system for scheduling and charts",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "931 Douglass Dr",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221011572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Patterson, MOTR/L
• Gabrielle Payabyab
• Daylon C Pearson
• Amy G Pedulla, DPT
• Christopher John Peele
• Pelex, Inc
• Courtnee Ann Pelton, PSY.D.
• Jillian Grace Pelzer, LPC
• Kimberlyn Nicole Pena
• Kelly Pennock, COTA

• Clinic/Center in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.