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TYSONS GYNECOLOGY AND MENOPAUSE CENTER LLC NPI 1578828505


NPI Information

NPI: 1578828505
Provider Name: TYSONS GYNECOLOGY AND MENOPAUSE CENTER LLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 49D2093800

Address:
8320 OLD COURTHOUSE RD
400
VIENNA, VA
ZIP 22182
Phone: (703) 226-4012
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TYSONS GYNECOLOGY AND MENOPAUSE CENTER LLC is a gynecology obstetrics gynecology in Vienna, VA. TYSONS GYNECOLOGY AND MENOPAUSE CENTER LLC NPI is 1578828505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8320 OLD COURTHOUSE RD
400
VIENNA, VA
ZIP 22182-831
Phone: (703) 226-4012
Fax: (703) 226-4010

The provider's authorized official is Melinda S Hall .
The authorized official title is Medical Director and has the following contact phone number (703) 226-4012.

The CLIA number assigned to this NPI record is 49D2093800 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/5/2012 and was last updated on 7/5/2012.


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
1207VG0400XObstetrics & GynecologyGynecology0101035022VIRGINIAYes

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
12730784OTHERCIGNA
2G02223M01OTHERMEDICARE
3N036-0001OTHERCARE FIRST NCA
4C89191MEDICARE UPIN
5189115OTHERVIRGINIAANTHEM
62145117OTHERMAMSI UHC

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: 11/14/2023

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