Greater Washington Gastroenterology

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

D0063370 Issued in MD

Legal business name

GREATER WASHINGTON GASTROENTEROLOGY

Practice address

8501 Arlington Blvd
Suite 525
Fairfax, VA 22031-4617

Phone

(703) 645-9790

Fax

(703) 645-9793

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ali Fazel, M.D.

Title

Owner

Phone

(703) 645-9790

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Farda Barandeh, PA

  • Physician Assistant
  • Reston, VA
  • NPI 1588024954
  NPD (past)
• Behzad Kalaghchi, M.D.

  • Gastroenterology Physician
  • Fairfax, VA
  • NPI 1356337158

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811082068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "SUITE 525",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314617",
            "telephone_number": "703-645-9790",
            "fax_number": "703-645-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "SUITE 525",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314617",
            "telephone_number": "703-645-9790",
            "fax_number": "703-645-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER WASHINGTON GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAZEL",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-645-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0063370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niya Gray, PT
• Kaitlyn Alexandra Graybill, ATC, VATL
• Great Days Home Care LLC
• Greater Expectations Consulting Firm, LLC
• Greater Washington Counseling and Mental Health
• Greater Washington Plastic Surgery Associates, LLC
• Jennet L Grebe, LMT
• Anastasia Elizabeth Grebeck, PA-C
• Lacy Williams Grecco
• Green Valley DME LLC

• All providers in Fairfax, VA
• Gastroenterology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.