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FAIR RIDGE OB/GYN ASSOCIATES PC NPI 1043392434


NPI Information

NPI: 1043392434
Provider Name: FAIR RIDGE OB/GYN ASSOCIATES , PC

Former Legal Business Name: WALTER J. HODGES JR. MD PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 49D0976746

Address:
4001 FAIR RIDGE DR
202
FAIRFAX, VA
ZIP 22033
Phone: (703) 591-2223
Get Directions

FAIR RIDGE OB/GYN ASSOCIATES , PC is an obstetrics gynecology in Fairfax, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. FAIR RIDGE OB/GYN ASSOCIATES , PC NPI is 1043392434. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Walter J. Hodges Jr. Md Pc.

The provider's business location address is:

4001 FAIR RIDGE DR
202
FAIRFAX, VA
ZIP 22033-917
Phone: (703) 591-2223
Fax: (703) 591-2270

The provider's authorized official is Walter James Hodges .
The authorized official title is President and has the following contact phone number (703) 264-7801.

The CLIA number assigned to this NPI record is 49D0976746 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G00665MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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