FAIR RIDGE OB/GYN ASSOCIATES PC NPI 1043392434

NPI Information

  • NPI: 1043392434
  • Provider Name: FAIR RIDGE OB/GYN ASSOCIATES , PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Former Legal Business Name: WALTER J. HODGES JR. MD PC
  • CLIA Number: 49D0976746
  • Address: 4001 FAIR RIDGE DR
    202
    FAIRFAX, VA
    ZIP 22033
  • Phone: (703) 591-2223

Map and Directions

Get Directions

NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI