Urology Assoc of Richmond. Inc

Key facts

NPI

1104840701

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

License

0101037753 (VA)

Legal business name

UROLOGY ASSOC OF RICHMOND. INC

Practice address

1401 Johnston Willis Dr
Suite 4500
N. Chesterfield, VA 23235-4730

Phone

(804) 320-1355

Fax

(804) 320-2786

NPI assigned

Jul 27, 2006

Organization subpart

No

Authorized official

Name

Mrs. Patricia Danielle Heath

Title

Billing Manager

Phone

(804) 320-1355

Practitioners 2

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

• Jeffrey Allen Rebman, MD Urology Physician · North Chesterfield, VA · NPI 1053315077
  Medicare reassignment NPD VA
• Linda B Waterworth, ANP Adult Health Nurse Practitioner · Richmond, VA · NPI 1073630745
  Medicare reassignment NPD SINGLE SPECIALTY · VA

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VA

Medicare enrollment records

National Provider Directory

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc09551_urologyassociatesofrichmond

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2015.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1104840701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "SUITE 4500",
            "city": "N CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1355",
            "fax_number": "804-320-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DR",
            "address_2": "SUITE 4500",
            "city": "N. CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354730",
            "telephone_number": "804-320-1355",
            "fax_number": "804-320-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOC OF RICHMOND. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "804-320-1355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101037753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7517505",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N. Chesterfield, VA

• Troy Terrell Murray Jr.
• Oneway Medical Transportation LLC
• Louise Rutledge, M.D
• The Richmond Light Company
• David T Tipp, LCSW, LLC

All providers in N. Chesterfield, VA · Specialist in Virginia