Individual provider Active NPI

Paula Noffsinger Fergusson, MD

  • Pediatrics Physician
  • Potomac Falls, VA
National Provider Identifier
1831267426
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101042351 Issued in VA
Practice address
46165 Westlake Dr
Suite 210
Potomac Falls, VA 20165
Phone
(703) 433-1555
Fax
(703) 444-9830
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101042351 VA Primary

Addresses

Primary practice location

46165 Westlake Dr
Suite 210
Potomac Falls, VA 20165

Mailing address

46165 Westlake Dr
Suite 210
Potomac Falls, VA 20165
Phone (703) 433-1555

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

Other names 1

  • Miss Paula Anne Noffsinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1831267426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "SUITE 210",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "703-433-1555",
            "fax_number": "703-444-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "SUITE 210",
            "city": "POTOMAC FALLS",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "703-433-1555",
            "fax_number": "703-444-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSSON",
        "first_name": "PAULA",
        "middle_name": "NOFFSINGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101042351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "NOFFSINGER",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Potomac Falls, VA

Sources for this page

Verify at the official NPI Registry.