Active NPI
Virginia Bariatric Surgery P.C.
- Surgery Physician
- Reston, VA
National Provider Identifier
1841550035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101250534
- Legal business name
- VIRGINIA BARIATRIC SURGERY P.C.
- Practice address
- 1850A Town Center Pkwy
Suite 301
Reston, VA 20190-5851 - Phone
- (703) 709-9771
- Fax
- (703) 709-8084
- NPI assigned
- May 21, 2012
- 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. Matthew Alexander Fitzer, M.D.
- Title
- Sole Proprietor
- Phone
- (703) 709-9771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101250534 | VA | Primary |
Addresses
Primary practice location
1850A Town Center Pkwy
Suite 301
Reston, VA 20190-5851
Mailing address
1850A Town Center Pkwy
Suite 301
Reston, VA 20190-5851
Phone (703) 709-9771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101250534 | Other | VA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
171 Elden St
#3B301
Herndon, VA 20170
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337731200000",
"number": "1841550035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850A TOWN CENTER PKWY",
"address_2": "SUITE 301",
"city": "RESTON",
"state": "VA",
"postal_code": "201905851",
"telephone_number": "703-709-9771",
"fax_number": "703-709-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850A TOWN CENTER PKWY",
"address_2": "SUITE 301",
"city": "RESTON",
"state": "VA",
"postal_code": "201905851",
"telephone_number": "703-709-9771",
"fax_number": "703-709-8084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA BARIATRIC SURGERY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-23",
"status": "A",
"authorized_official_last_name": "FITZER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "703-709-9771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "0101250534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0101250534",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
- Kathryn L Vieweg, LPC, CEAP
- Vijay K. Chadha, MD, P.C.
- Janie Villarin, NURSE PRACTITIONER
- Dominique Vinh, MD
- Virgina Family and Cosmetic Dentistry Inc
- Virginia Cardinal Home Care LLC
- Virginia Center for Reproductive Medicine
- Virginia CVS Pharmacy LLC
- Virginia CVS Pharmacy LLC
- Virginia CVS Pharmacy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.