CENTER FOR CONTINENCE AND PELVIC SUPPORT PC


Address: 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800
Phone: 5713897140

CENTER FOR CONTINENCE AND PELVIC SUPPORT PC (NPI# 1407194186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407194186
Entity Type Organization
Organization Name CENTER FOR CONTINENCE AND PELVIC SUPPORT PC
Other Organization Name CENTER FOR UROGYNECOLOGY AND PELVIC SURGERY
Practice Address 3289 Woodburn Rd
Suite 130
Annandale
VA 22003-6800
Practice Telephone 5713897140
Practice Fax Number 7039927584
Mailing Telephone 5713897140
Mailing Fax Number 7039927584
Enumeration Date 2013-01-30
Last Update Date 2013-11-21
Authorized Official Name DR. JEFFREY ALAN WELGOSS (PRESIDENT)
Authorized Official Telephone 5713897140
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE - GROUP PTAN 271520 01

Other Provider/Organization Names

Other Name Type Code
Center For Urogynecology and Pelvic Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518303742 Center for Continence and Pelvic Support PC Obstetrics & Gynecology 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 2013-05-15
1649613829 Center for Continence and Pelvic Support PC Obstetrics & Gynecology 5215 Loughboro Rd Nw, Ste 500, Washington, DC 20016-2618 2013-04-08
1396188579 Center for Continence and Pelvic Support PC Specialist 10215 Fernwood Rd, Ste 300, Bethesda, MD 20817-1106 2013-04-08

Office Location

Street Address 3289 WOODBURN RD
SUITE 130
City ANNANDALE
State VA
Zip Code 22003-6800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730156373 John C Elkas Obstetrics & Gynecology 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 2006-03-02
1710349105 Nazaneen Nassiry Nurse Practitioner 3289 Woodburn Rd, 200, Annandale, VA 22003-6800 2016-03-24
1114399466 Ishmail Kamara Nurse Practitioner 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 2015-10-27
1073807996 Aabha Jain Internal Medicine 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 2011-06-08
1255646311 Apheresis Associates of Northern Virginia, LLC Clinic/Center 3289 Woodburn Rd, Suite 220, Annandale, VA 22003-6800 2010-08-13
1366755829 Heather Blackstock Causseaux Nurse Practitioner 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 2010-07-26
1134449051 Old Dominion Pathology Associates, LLC Pathology 3289 Woodburn Rd, Ste 220, Annandale, VA 22003-6800 2010-06-02
1881925311 Reconstructive Plastic Surgery Consultants, LLC Plastic Surgery 3289 Woodburn Rd, Suite 245, Annandale, VA 22003-6800 2010-01-22
1780824367 Shalika Basnayake Katugaha Internal Medicine 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 2009-02-23
1932345931 Mark Delman Internal Medicine 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 2008-12-21
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407881790 Nicolette Sigrid Horbach Obstetrics & Gynecology 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 2006-07-12
1023043361 Walter S Vonpechmann Obstetrics & Gynecology 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528013620 Christopher Joseph Walshe Obstetrics & Gynecology 1035 Champions Way Ste 700, Suffolk, VA 23435-3763 2006-05-24
1497749907 Maria Pettit Canter Obstetrics & Gynecology 1860 Town Center Dr Ste 140, Reston, VA 20190-5898 2005-09-12
1770055238 Privia Womens Health LLC Obstetrics & Gynecology 7611 Forest Ave Ste 200, Richmond, VA 23229-4946 2018-12-21
1881019909 Blue Ridge Urogynecology, Inc Obstetrics & Gynecology 3800 Electric Rd, Suite 405, Roanoke, VA 24018-4569 2014-02-26
1326475542 Bon Secours Virginia Medical Group I, LLC Obstetrics & Gynecology 8266 Atlee Rd, Suite 219, Mechanicsville, VA 23116-1804 2013-10-02
1083056774 Virginia Hospital Center Physician Group, LLC Obstetrics & Gynecology 1625 N George Mason Dr, Suite 475, Arlington, VA 22205-3683 2013-07-23
1417160524 Tovia Martirosian Smith Obstetrics & Gynecology 7515 Right Flank Rd, Mechanicsville, VA 23116-3818 2007-05-07
1942230040 Nathan L. Guerette Obstetrics & Gynecology 1401 Johnston Willis Dr, Suite 1100, North Chesterfield, VA 23235-4730 2006-07-04

Competitor

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City ANNANDALE
Zip Code 22003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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