NPIMap

Organization Active NPI

Northern Virginia Pelvic Surgery Associates, PC

  • Gynecology Physician
  • Bethesda, MD
National Provider Identifier
1871752329
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC
Practice address
10215 Fernwood Rd
Suite 300
Bethesda, MD 20817
Phone
(703) 698-7100
Fax
(703) 207-9487
NPI assigned
Jun 9, 2008
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Jeffrey Welgoss, MD
Title
Physician
Phone
(703) 698-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary
Gynecologic Oncology Physician 207VX0201X NU

Addresses

Primary practice location

10215 Fernwood Rd
Suite 300
Bethesda, MD 20817

Mailing address

3289 Woodburn Rd
Suite 320
Annandale, VA 22003-6800
Phone (703) 698-7100

Other identifiers 1

IdentifierTypeStateIssuer
616754OtherVAMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Northern Virginia Pelv8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10215 Fernwood Rd
Ste 300
Bethesda, MD 20817
Phone (301) 897-8650

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1871752329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD",
            "address_2": "SUITE 320",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036800",
            "telephone_number": "703-698-7100",
            "fax_number": "703-207-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "703-698-7100",
            "fax_number": "703-207-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "WELGOSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-698-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "616754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.