Organization Active NPI

Paul a. Tudder, M.D., F.a.C.O.G., P.C.

  • Obstetrics & Gynecology Physician
  • Leesburg, VA
National Provider Identifier
1992978522
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101033381 Issued in VA
Legal business name
PAUL A. TUDDER, M.D., F.A.C.O.G., P.C.
Practice address
821 S King St
Suite H
Leesburg, VA 20175-3921
Phone
(703) 777-6550
Fax
(703) 771-8021
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Mrs. Melissa Cross
Title
Office Manager
Phone
(703) 777-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101033381 VA Primary

Addresses

Primary practice location

821 S King St
Suite H
Leesburg, VA 20175-3921

Mailing address

821 S King St
Suite H
Leesburg, VA 20175-3921
Phone (703) 777-6550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1992978522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S KING ST",
            "address_2": "SUITE H",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753921",
            "telephone_number": "703-777-6550",
            "fax_number": "703-771-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S KING ST",
            "address_2": "SUITE H",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753921",
            "telephone_number": "703-777-6550",
            "fax_number": "703-771-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. TUDDER, M.D., F.A.C.O.G., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-777-6550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101033381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.