Edward G Koch, MD | |
1635 N George Mason Dr, Suite 185, Arlington, VA 22205-3601 | |
(703) 527-5155 | |
(703) 525-3451 |
Full Name | Edward G Koch |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1635 N George Mason Dr, Arlington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992854905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0101023302 (Virginia) | Primary |
207V00000X | Obstetrics & Gynecology | MD5187 (District Of Columbia) | Secondary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
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Edward G Koch, MD 6707 Old Dominion Dr, Ste 300, Mc Lean, VA 22101-4503 Ph: (703) 288-0794 | Edward G Koch, MD 1635 N George Mason Dr, Suite 185, Arlington, VA 22205-3601 Ph: (703) 527-5155 |
Dr. Luis E. Sanz, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1625 N George Mason Dr, Suite 475, Arlington, VA 22205 Phone: 703-717-4000 Fax: 703-717-4009 | |
Amanda Elaine Rohn, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1625 N George Mason Dr, Suite 325, Arlington, VA 22205 Phone: 703-717-4600 | |
Saliatou Maikarfi Jordan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4040 Fairfax Dr Ste 801, Arlington, VA 22203 Phone: 571-970-6050 Fax: 571-950-6352 | |
Dr. Jennifer Lynn Kilmer, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1625 N George Mason Dr, Suite 465, Arlington, VA 22205 Phone: 703-717-4050 Fax: 703-717-4057 | |
Jessica Leigh Hardesty, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1701 N George Mason Dr, Arlington, VA 22205 Phone: 703-717-4502 | |
Melanie Polin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1701 N George Mason Dr, Arlington, VA 22205 Phone: 703-717-4600 | |
Dr. William Albright Burch Iii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5275 Lee Highway, Suite 101, Arlington, VA 22207 Phone: 703-358-8700 Fax: 703-358-8703 |