POTOMAC UROLOGY CENTER, P.C. (NPI# 1699315929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699315929 |
| Entity Type | Organization |
| Organization Name | POTOMAC UROLOGY CENTER, P.C. |
| Practice Address |
1800 N Beauregard St Ste 300 Alexandria VA 22311-5879 |
| Practice Telephone | 7036802111 |
| Mailing Telephone | 7036802111 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | PRATIK S DESAI (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7036802111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861588592 | Potomac Urology Center, P.C. | Urology | 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191-3300 | 2006-10-04 |
| Street Address |
1800 N BEAUREGARD ST STE 300 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22311-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356995898 | Tika Trotter-mason | Counselor | 1900 N Beauregard Street, Alexandria, VA 22311 | 2019-08-01 |
| 1386179414 | Marian Ramirez Bautista | Nurse Practitioner | 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 | 2017-04-26 |
| 1710294327 | Heather Jo Knowles Scharre | Behavioral Analyst | 4876 West Braddock Road, Alexandria, VA 22311 | 2010-09-02 |
| 1790001980 | Soft Dentistry | Clinic/Center | 5508 Seminary Rd, Alexandria, VA 22311 | 2010-04-13 |
| 1093946469 | David John Anderson | Dentist | 5192 Dawes Avenue, Alexandria, VA 22311 | 2009-08-04 |
| 1114109410 | Chong W. Lee, M.d., P.C. | Surgery | 4901 Seminary Road, #110, Alexandria, VA 22311 | 2007-11-29 |
| 1922298819 | Ramia Gupta | Psychiatry & Neurology | 4551 Strutfield Lane, #4220, Alexandria, VA 22311 | 2007-07-27 |
| 1942422431 | Sheila Jahan Md PC | Psychiatry & Neurology | 5238 Dawes Ave, Alexandria, VA 22311 | 2007-05-03 |
| 1457497380 | Elizabeth Anne Teegarden | Psychologist | 5276 Dawes Avenue, Alexandria, VA 22311 | 2007-01-29 |
| 1609932292 | James A Snyder | Dentist | 5284 Dawes Avenue, Alexandria, VA 22311 | 2006-12-28 |
| Find all providers in zip 22311 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1275553836 | Gregory M Bernstein | Urology | 1600 N Beauregard St, Suite 300, Alexandria, VA 22311-1704 | 2006-07-19 |
| 1033140637 | Robert Lepine Fontane | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2006-07-05 |
| 1063491603 | John W Klousia | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2006-01-12 |
| 1427036599 | Richard C Rhame | Urology | 1707 Osage St, Suite 301, Alexandria, VA 22302-2607 | 2006-01-09 |
| 1629496088 | Boston Medical Group- Virginia, P.C. | Urology | 4216 King Street, Alexandria, VA 22302 | 2014-04-02 |
| 1902244171 | Katherine Ann Walker | Urology | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2013-06-11 |
| 1669778080 | John W Klousia Md PC | Urology | 7910 Andrus Rd, Suite 6, Alexandria, VA 22306-3171 | 2011-02-02 |
| 1629396460 | Joshua Holstead | Urology | 3311 Prescott Rd Ste 100, Alexandria, LA 71301-3917 | 2010-05-04 |
| 1487879094 | Cenla Urology Clinic LLC | Urology | 3311 Prescott Rd, Suite 100, Alexandria, LA 71301-3900 | 2007-04-17 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22311 |
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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.