Organization Active NPI

Alexandria Perinatal Diagnostic Center

  • Maternal & Fetal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1922048230
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
ALEXANDRIA PERINATAL DIAGNOSTIC CENTER
Practice address
4320 Seminary Road
Inova Alexandria Hospital Diagnostic Center
Alexandria, VA 22304-1535
Phone
(703) 504-7868
Fax
(703) 504-7733
NPI assigned
Jun 7, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Kenneth H Kozloff, FACHE
Title
Administrator Inova Alexandria Hosp
Phone
(703) 504-3167

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SC0300X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

4320 Seminary Road
Inova Alexandria Hospital Diagnostic Center
Alexandria, VA 22304-1535

Mailing address

2876 Guardian Lane
Virginia Beach, VA 23452-7327
Phone (757) 463-5240

Other identifiers 1

IdentifierTypeStateIssuer
2504OtherVACAREFIRST

National Provider Directory

National Provider Directory
Tax ID family
Alexandria Hospital Inc Accounting Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922048230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 GUARDIAN LANE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527327",
            "telephone_number": "757-463-5240",
            "fax_number": "757-463-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 SEMINARY ROAD",
            "address_2": "INOVA ALEXANDRIA HOSPITAL DIAGNOSTIC CENTER",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-504-7868",
            "fax_number": "703-504-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA PERINATAL DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOZLOFF",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR INOVA ALEXANDRIA HOSP",
        "authorized_official_telephone_number": "703-504-3167",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "2504",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.