Active NPI
Annandale OB GYN
- Specialist
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ANNANDALE OB GYN
- Practice address
- 4208 Evergreen LN
Ste 213
Annandale, VA 22003-3235 - Phone
- (703) 642-7522
- NPI assigned
- Dec 9, 2006
- Last updated
- Jul 1, 2008
- 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. Anna Nha-Khanh Le, MD
- Title
- Director
- Phone
- (703) 642-7522
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 |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Primary |
Addresses
Primary practice location
4208 Evergreen LN
Ste 213
Annandale, VA 22003-3235
Mailing address
PO Box 3028
Merrifield, VA 22116-3028
Phone (703) 642-7522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010179785 | Medicaid | VA |
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 |
|---|---|---|---|
| 49D2151130 | Annandale OB/GYN | Certificate of waiver | Jul 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
5148 Leesburg Pike
Alexandria, VA 22302
4208 Evergreen Ln
Annandale, VA 22003
Phone (703) 642-2288
Practitioners & affiliated clinicians
Practitioners 3
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
- Annandale, VA
- NPI 1841382553
-
- Obstetrics & Gynecology Physician
- Annandale, VA
- NPI 1790105476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1811057102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3028",
"city": "MERRIFIELD",
"state": "VA",
"postal_code": "221163028",
"telephone_number": "703-642-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4208 EVERGREEN LN",
"address_2": "STE 213",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033235",
"telephone_number": "703-642-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNANDALE OB GYN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-09",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "NHA-KHANH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-642-7522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010179785",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.