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UROLOGY ASSOC OF RICHMOND. INC NPI 1104840701


NPI Information

NPI: 1104840701
Provider Name: UROLOGY ASSOC OF RICHMOND. INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 49D0947319

Address:
1401 JOHNSTON WILLIS DR
SUITE 4500
N. CHESTERFIELD, VA
ZIP 23235
Phone: (804) 320-1355
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UROLOGY ASSOC OF RICHMOND. INC is a specialist in N. Chesterfield, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. UROLOGY ASSOC OF RICHMOND. INC NPI is 1104840701. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 JOHNSTON WILLIS DR
SUITE 4500
N. CHESTERFIELD, VA
ZIP 23235-730
Phone: (804) 320-1355
Fax: (804) 320-2786

The provider's authorized official is Patricia Danielle Heath .
The authorized official title is Billing Manager and has the following contact phone number (804) 320-1355.

The CLIA number assigned to this NPI record is 49D0947319 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 1/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101037753VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B06683MEDICARE UPINVIRGINIA
27517505MEDICAIDVIRGINIA
3340000156MEDICARE OSCAR/CERTIFICATIONVIRGINIA
4340000156MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
5B06103MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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