Basic Information
| Provider Information | |||||||||
| NPI: | 1447484563 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARLINGTON OB HOSPITALISTS AT VIRGINIA HOSPITAL CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1715 N GEORGE MASON DR | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222053609 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 1701 N GEORGE MASON DR | ||||||||
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| City: | ARLINGTON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 222053610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7035585000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2009 | ||||||||
| LastUpdateDate: | 12/31/2015 | ||||||||
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| AuthorizedOfficialLastName: | DEPAOLI | ||||||||
| AuthorizedOfficialFirstName: | ROBIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT, PHYSICIAN SERVICES | ||||||||
| AuthorizedOfficialTelephone: | 7035586104 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM | ||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 540505989 | 01 | VA | INTERNAL REVENUE SERVICE | OTHER |