UROLOGY OF VIRGINA, PLLC (NPI# 1912378662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912378662 |
| Entity Type | Organization |
| Organization Name | UROLOGY OF VIRGINA, PLLC |
| Practice Address |
400 Sentara Cir Suite 310 Geddy Outpatient Center Williamsburg VA 23188-5716 |
| Mailing Address |
225 Clearfield Ave Virginia Beach VA 23462-1815 |
| Practice Telephone | 7574575100 |
| Practice Fax Number | 7579613696 |
| Mailing Telephone | 7574575100 |
| Mailing Fax Number | 7579613696 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MICHAEL D FABRIZIO (MANAGING PARTNER) |
| Authorized Official Telephone | 7574523419 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 101059177 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | GROUP MEDICARE NSC | A180 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639456452 | Urology of Virgina, Pllc | Urology | 2000 Meade Pkwy, Suffolk, VA 23434-4259 | 2011-11-08 |
| 1598042319 | Urology of Virgina, Pllc | Urology | 7185 Harbour Towne Pkwy S Ste 200, Suffolk, VA 23435-3796 | 2011-11-08 |
| Street Address |
400 SENTARA CIR SUITE 310 GEDDY OUTPATIENT CENTER |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325254 | Kerry C Prewitt | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2005-09-06 |
| 1508317884 | Yasmin Nuru | Nurse Practitioner | 400 Sentara Cir, Suite 450, Williamsburg, VA 23188-5716 | 2016-10-20 |
| 1225398936 | L&e Medical Associates LLC | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2012-05-29 |
| 1942585310 | Williamsburg Emergency Physicians | Emergency Medicine | 400 Sentara Cir, Williamsburg, VA 23188-5716 | 2011-10-18 |
| 1033444039 | Sentara Medical Group | Internal Medicine | 400 Sentara Cir, Ste 320a, Williamsburg, VA 23188-5716 | 2009-10-08 |
| 1265668578 | Sentara Medical Group | Pediatrics | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 | 2009-06-02 |
| 1164665824 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 400 Sentara Cir, Suite 320, Williamsburg, VA 23188-5716 | 2009-04-10 |
| 1134360274 | Sentara Medical Group | Surgery | 400 Sentara Cir, Ste 450, Williamsburg, VA 23188-5716 | 2009-03-19 |
| 1952556144 | Bonnie Webster Cooley | Nurse Practitioner | 400 Sentara Cir, Ste. 450, Williamsburg, VA 23188-5716 | 2008-12-01 |
| 1457553125 | Sentara Medical Group | Internal Medicine | 400 Sentara Cir, Ste 320, Williamsburg, VA 23188-5716 | 2007-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| 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 |
|---|---|---|---|---|
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1174635312 | Edward Bedell Freyfogle Jr. | Urology | 104 Hoylake, Williamsburg, VA 23188-7450 | 2006-08-31 |
| 1821076860 | Lawrence R. Volz | Urology | 400 Sentara Cir Ste 310, Williamsburg, VA 23188-5716 | 2006-01-09 |
| 1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
| 1134303928 | Riverside Physician Services Inc | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2007-12-28 |
| 1538148580 | Anthony J. Taylor | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2006-01-10 |
| 1609854835 | Scott Vassar Burgess | Urology | 120 Kings Way, Suite 3200, Williamsburg, VA 23185-2505 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1124435664 | Chesterfield Urology, LLC | Urology | 16901 Blakeway Pl, Moseley, VA 23120-1369 | 2014-07-16 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1417261256 | Nicanor B. Concepcion, M.d. P.C. | Urology | 624 Park Avenue, Norton, VA 24273-0909 | 2010-08-04 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
| 1053638890 | Maryview Hospital | Urology | 4037 Taylor Rd Ste A, Chesapeake, VA 23321-5500 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.