Provider Demographics
NPI:1992583371
Name:CONSULTANTS IN OBSTETRIC & GYNECOLOGIC ULTRASONOGRAPHY & SURGERY, PLLC
Entity type:Organization
Organization Name:CONSULTANTS IN OBSTETRIC & GYNECOLOGIC ULTRASONOGRAPHY & SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-844-2004
Mailing Address - Street 1:1120 19TH ST NW STE 800
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3676
Mailing Address - Country:US
Mailing Address - Phone:202-844-2004
Mailing Address - Fax:
Practice Address - Street 1:1120 19TH ST NW STE 800
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3676
Practice Address - Country:US
Practice Address - Phone:202-844-2004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VC0300XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyComplex Family PlanningGroup - Single Specialty