CHUCK G PRUNA


Address: 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452
Phone: 7037241195

CHUCK G PRUNA (NPI# 1407049265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407049265
Entity Type Individual
Full Name CHUCK G PRUNA
Credential D.O.
Practice Address 19415 Deerfield Ave
Suite 112
Leesburg
VA 20176-8452
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Practice Telephone 7037241195
Practice Fax Number 7037244495
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Enumeration Date 2007-08-23
Last Update Date 2014-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 0102203292 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 0102203292 05

Office Location

Street Address 19415 DEERFIELD AVE
SUITE 112
City LEESBURG
State VA
Zip Code 20176-8452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558745794 Loudoun Medical Group PC Surgery 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2015-07-17
1649662339 Crescent Medical Arts Internal Medicine 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2015-03-04
1821492067 Kelly Ashley Boardman Physician Assistant 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2014-10-17
1356780746 Rachel Swinger Sposito Nurse Practitioner 19415 Deerfield Ave, Suite 202, Leesburg, VA 20176-8452 2013-06-18
1093066284 Mari E Parker Nurse Practitioner 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 2012-09-27
1174879944 Loudoun Medical Group PC Internal Medicine 19415 Deerfield Ave, Suite 107, Leesburg, VA 20176-8452 2012-07-31
1366709651 Loudoun Medical Group PC Pediatrics 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2012-04-12
1093091530 Navin Hukmani, Dds, LLC Dentist 19415 Deerfield Ave, Suite 306, Leesburg, VA 20176-8452 2011-10-28
1922325000 Kathleen I Cage Nurse Practitioner 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 2010-04-28
1588827968 Christopher L. Starks Urology 19415 Deerfield Ave, Suite112, Leesburg, VA 20176-8452 2008-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588185797 Urology Health Consulting PC Urology 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 2017-06-28
1942326251 Kambiz Tajkarimi Urology 44055 Riverside Pkwy Ste 208, Leesburg, VA 20176-5176 2007-03-21
1730155672 Andrew B Sher Urology 616 N Palmetto St, Leesburg, FL 34748-4417 2006-02-28
1730173360 Walter M O'brien Urology 19415 Deerfield Ave Ste 112, Leesburg, VA 20176-8470 2005-09-09
1235469206 Christine Ngoc Bich Tran Urology 19415 Deerfield Ave Ste 112, Leesburg, VA 20176-8470 2010-01-13
1588827968 Christopher L. Starks Urology 19415 Deerfield Ave, Suite112, Leesburg, VA 20176-8452 2008-07-07
1043498660 David R Brunetti M D P A Urology 616 N Palmetto St, Leesburg, FL 34748-4417 2008-02-06
1679759039 Loudoun Medical Group PC Urology 224 D Cornwall Street Nw, Suite 400, Leesburg, VA 20176 2008-01-16
1740479971 Jennifer Lee Young Urology 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 2007-10-24
1346437415 Andrew B Sher Md Pa Urology 616 N Palmetto St, Leesburg, FL 34748-4417 2007-10-02
Find all providers in LEESBURG

Competitor

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City LEESBURG
Zip Code 20176

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Dataset Information

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.

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