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ALEXANDRA LOUISE GANNON M.D.
NPI 1922495639
Obstetrics & Gynecology - Reproductive Endocrinology in Fair Oaks, VA

Active since April 20, 2015
12011 LEE JACKSON MEMORIAL HIGHWAY, SUITE 302, FAIR OAKS, VA 22033(703) 246-0500(855) 473-0122 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2024, Jul 27, 2019 (2 updates tracked since 2019).

About Alexandra Louise Gannon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA LOUISE GANNON M.D. (NPI 1922495639) is an individual reproductive endocrinology provider in Fair Oaks, Virginia, licensed in Virginia (0101275640) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1922495639
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameALEXANDRA LOUISE GANNONCredential: M.D.
Location Address12011 LEE JACKSON MEMORIAL HIGHWAY, SUITE 302Fair Oaks, VA 22033
Mailing Address9600 Blackwell Rd Ste 500Rockville, MD 20850-3783 · Fax (855) 473-0122
Phone(703) 246-0500
Fax(855) 473-0122
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1922495639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in VA · 0101275640
Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

12011 LEE JACKSON MEMORIAL HIGHWAY, Fair Oaks, VA 22033
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Gannon's NPI number?

The NPI number for Alexandra Gannon is 1922495639. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Alexandra Gannon located?

Alexandra Gannon practices at 12011 Lee Jackson Memorial Highway Suite 302, Fair Oaks, VA 22033. The listed phone number is (703) 246-0500.

What is Alexandra Gannon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Alexandra Gannon was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.