Unknown Individual – Gynecologic Oncology Physician, NPI 1629003926

Unknown Individual is a healthcare provider. based in Annandale, Virginia. specializing in Gynecologic Oncology Physician. They hold a License No. 0101037225 (VA). The NPI Number for Unknown Individual is 1629003926

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629003926
Phone
(703) 698-7100
Address
3289 WOODBURN RD
Deactivation Date
26 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3289, Woodburn Road, Strathmeade Springs, Annandale, Fairfax, Virginia, 22003, United States

    SUITE 320

    ANNANDALE, VA 220036800

    Phone: (703) 698-7100

    Fax: (703) 207-9487

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22003)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1629003926 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Annandale, Virginia for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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