Provider Demographics
NPI:1932375144
Name:ROOT, CASSIE GYURICZA (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:GYURICZA
Last Name:ROOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:ANNE
Other - Last Name:GYURICZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-525-2200
Mailing Address - Fax:703-522-2603
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 504
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-525-2200
Practice Address - Fax:703-522-2603
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249438207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery