MARTINSVILLE UROLOGIC CLINIC PC (NPI# 1073667630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073667630 |
| Entity Type | Organization |
| Organization Name | MARTINSVILLE UROLOGIC CLINIC PC |
| Practice Address |
15 Cleveland Ave Suite 15 Martinsville VA 24112-2937 |
| Practice Telephone | 2766345000 |
| Practice Fax Number | 2766345229 |
| Mailing Telephone | 2766345000 |
| Mailing Fax Number | 2766345229 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-06-26 |
| Authorized Official Name | DR. GEORGE SAMUEL HURT III (OFFICER) |
| Authorized Official Telephone | 2766345000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians |
| Street Address |
15 CLEVELAND AVE SUITE 15 |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271602 | Cody M Drake | Podiatrist | 15 Cleveland Ave, Suite 9, Martinsville, VA 24112-2937 | 2005-08-02 |
| 1326699687 | Janee Alexandria Stevenson | Registered Nurse | 15 Cleveland Ave, 14, Martinsville, VA 24112 | 2019-09-26 |
| 1285066100 | Laura Rowles | Physician Assistant | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2013-08-01 |
| 1144574930 | Mary Quentin Barnes | Pediatrics | 15 Cleveland Ave, 14, Martinsville, VA 24112-2937 | 2012-11-01 |
| 1568732303 | Maggie Brown Lance | Physician Assistant | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2012-01-11 |
| 1811221229 | Children's Medical Center, Ltd. | Specialist | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2009-10-01 |
| 1861621120 | Golden Touch Home Health | Home Health | 15 Cleveland Ave, Suite 3, Martinsville, VA 24112-2937 | 2009-07-08 |
| 1801010616 | Children's Medical Center, Ltd. | Clinic/Center | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2007-04-12 |
| 1134342827 | Children's Medical Center Laboratory | Clinical Medical Laboratory | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2007-04-11 |
| 1093770521 | Piedmont Podiatry Associates | Podiatrist | 15 Cleveland Ave, Suite 9, Martinsville, VA 24112-2937 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831243542 | George Samuel Hurt | Urology | 101 Cleveland Ave, Suite C, Martinsville, VA 24112-3700 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922200906 | Eric Donald Nelson | Urology | 1000 E Broad St, Richmond, VA 23219-1930 | 2007-06-03 |
| 1740318682 | Sean T. Corbett | Urology | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-01 |
| 1003985235 | Jyoti Upadhyay | Urology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-11-06 |
| 1508872797 | Louis Joseph Wojcik | Urology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-07-31 |
| 1326054321 | Charles Edwin Horton Jr. | Urology | 601 Childrens Lane, Childrens Surgical Specialty Group Inc, Norfolk, VA 23507 | 2006-07-31 |
| City | MARTINSVILLE |
| Zip Code | 24112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.