Healthcare Provider Details

I. General information

NPI: 1902034150
Provider Name (Legal Business Name): ASHLEY G O'REILLY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6564 LOISDALE CT STE 205
SPRINGFIELD VA
22150-1812
US

IV. Provider business mailing address

6564 LOISDALE CT STE 205
SPRINGFIELD VA
22150-1812
US

V. Phone/Fax

Practice location:
  • Phone: 703-644-7800
  • Fax: 703-644-1508
Mailing address:
  • Phone: 703-644-7800
  • Fax: 703-644-1508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number53123
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number0101256004
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: