Provider Demographics
NPI:1427189547
Name:GARCIA, WILLIAM JOHN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOHN
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8233 OLD COURTHOUSE RD
Mailing Address - Street 2:STE. 150
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3816
Mailing Address - Country:US
Mailing Address - Phone:703-734-2057
Mailing Address - Fax:703-734-2059
Practice Address - Street 1:8233 OLD COURTHOUSE RD
Practice Address - Street 2:STE. 150
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-3816
Practice Address - Country:US
Practice Address - Phone:703-734-2057
Practice Address - Fax:703-734-2059
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042359207V00000X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010254191Medicaid
VAE13435Medicare UPIN