Robert W. Wilson M.D., P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ROBERT W. WILSON M.D., P.C.

Doing business as

Ashburn/Reston Family Practice

Practice address

1800 Town Center Dr
Suite 215
Reston, VA 20190-3215

Phone

(703) 729-3700

Fax

(703) 858-0675

NPI assigned

May 11, 2010

Last updated

May 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mabel Meetre

Title

Office Manager

Phone

(703) 729-3700

Specialties & licenses 1

Addresses

Other names 1

• Ashburn/Reston Family Practice Doing business as

Locations

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1790003036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 215",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-729-3700",
            "fax_number": "703-858-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 215",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-729-3700",
            "fax_number": "703-858-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. WILSON M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "MEETRE",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-729-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashburn/Reston Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Mills Robbins
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• Robert W. Gurney,M.D.,LTD.
• Ella Grace Roberts, PT
• Karen Roberts
• Kimberly Jean Roberts
• Leslie Courtney Roberts, LPC, MED, CSAC
• Darius Joseph Robinson, MD

• Preferred Provider Organization in Reston, VA
• Providers in Reston, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.