Organization Active NPI

Uzma Ehtesham MD PLLC

  • Psychiatry Physician
  • Norton, VA
National Provider Identifier
1073793055
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101235302 Issued in VA
Legal business name
UZMA EHTESHAM MD PLLC
Practice address
611 Trent St NE
Norton, VA 24273-1533
Phone
(276) 679-4200
Fax
(276) 679-4230
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Uzma Ehtesham, M.D.
Title
Physician
Phone
(276) 679-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0101235302 VA Primary

Addresses

Primary practice location

611 Trent St NE
Norton, VA 24273-1533

Mailing address

PO Box 386
Wise, VA 24293-0386
Phone (276) 679-4200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1073793055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242930386",
            "telephone_number": "276-679-4200",
            "fax_number": "276-679-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731533",
            "telephone_number": "276-679-4200",
            "fax_number": "276-679-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UZMA EHTESHAM MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "EHTESHAM",
        "authorized_official_first_name": "UZMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-679-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101235302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.