Provider Demographics
NPI:1386840791
Name:NORTHERN VIRGINIA OBGYN ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA OBGYN ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-698-8060
Mailing Address - Street 1:8316 ARLINGTON BOULEVARD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5216
Mailing Address - Country:US
Mailing Address - Phone:703-698-8060
Mailing Address - Fax:703-876-4691
Practice Address - Street 1:8316 ARLINGTON BOULEVARD
Practice Address - Street 2:SUITE 420
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5216
Practice Address - Country:US
Practice Address - Phone:703-698-8060
Practice Address - Fax:703-876-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207V00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
32370009OtherCAREFIRST BCBS DOBRZYNSKI
VA0101222206OtherLICENSE GLEN H SILAS
VA0101016735OtherLICENSE DAVID R CARLSON
32370003OtherCAREFIRST BCBS MADDOX JOH
32370008OtherCAREFIRST BCBS SILAS GLEN
VA0101037033OtherLICENSE JOHN F MADDOX
VA0101046008OtherLICENSE DAVID B BERRY
VA0101234642OtherLICENSE ANNE M DOBRZYNSKI
32370001OtherCAREFIRST BCBS CARLSON DR
32370005OtherCAREFIRST BCBS BERRY DAVI
474573N01Medicare ID - Type UnspecifiedMADDOX JOHN F
32370008OtherCAREFIRST BCBS SILAS GLEN
VA0101234642OtherLICENSE ANNE M DOBRZYNSKI
VA0101037033OtherLICENSE JOHN F MADDOX
32370003OtherCAREFIRST BCBS MADDOX JOH
32370001OtherCAREFIRST BCBS CARLSON DR