Uva Prince William Medical Center
Organization Active NPI General Acute Care Hospital · Haymarket, VA
NPI 1124369137 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1124369137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- H1938 (VA)
- Legal business name
- UVA PRINCE WILLIAM MEDICAL CENTER
- Practice address
- 15225 Heathcote Blvd
Haymarket, VA 20169 - Phone
- (571) 284-1000
- Fax
- (571) 284-1009
- NPI assigned
- Mar 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Charles D Coder
- Title
- Chief Financial Officer
- Phone
- (804) 835-2069
Owners & managing parties with NPI records 26
-
Douglas J. Markert, M.D.
-
Stephen M Smith, MD
Member of 1
Member organizations 1
Facilities with the same owner 21
Affiliated clinicians 633
-
Aaiza Hirra Abbas, NURSE PRACTITIONER
-
Yasir Abdul-Rahman, D.O
-
Mohammad Abidi, MD
-
Jennifer Ann Ackerman, D.O.
-
Michael Keith Ackerman, D.O.
-
Sanjeev Aggarwal, MD
-
Adeeb Aghdassi, M.D.
-
Nadine S. Aguilera, M.D.
-
Mark Ahlman, MD
-
Azhar Ahmed, MD
-
Mona Ahmed, DO
-
Rizwan Ahmed, M.D.
-
Tokunbo Ajayi, M.D.
-
Sonia Sara Alencherry, M.D.
-
Eric F Allee, MD
-
Zohayr Alshaial, M.D.
-
Talat Qadeer Alvi, M.D.
-
Mark W Anderson, MD
Medicare Care Compare: Hospital
- Listed as
- Uva Health Haymarket Medical Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Hospital certification: CCN 490144
- Legal name
- UVA PRINCE WILLIAM MEDICAL CENTER
- Doing business as
- UVA HEALTH HAYMARKET MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- May 7, 2014
- Last certification
- May 7, 2014
- Beds
- 60
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 15225 Heathcote Blvd
Haymarket, VA 20169-6264 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen Craig Nelson |
Corporate Director |
Jan 1, 2017 | |
| Stephen M Smith |
Corporate Director |
Jan 1, 2018 | |
| Steven Danziger |
Corporate Officer | Jan 1, 2013 | |
| Corporate Director |
Jan 1, 2013 | ||
| Douglas J Markert |
Corporate Director |
Jan 1, 2019 | |
| Charles Coder |
Contracted Managing Employee |
Oct 1, 2021 | |
| Corporate Officer |
Oct 1, 2021 | ||
| Operational/Managerial Control |
Oct 1, 2021 | ||
| Jacqueline France Krick |
Corporate Director |
Jan 1, 2017 | |
| Kevin Patrick Kelley |
Corporate Director |
Jan 1, 2016 | |
| Rector & Visitors of the University of Virginia |
5% Or Greater Indirect Ownership Interest | Jan 1, 2016 | 100% |
| Operational/Managerial Control | Jul 1, 2021 | 100% | |
| Vikram Khot |
Corporate Officer | Jan 1, 2013 | |
| Corporate Director |
Jan 1, 2013 | ||
| Sara White |
W-2 Managing Employee |
Oct 1, 2021 | |
| Uva Prince William Health System |
5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| Ross S Switkes |
Corporate Director |
Jan 1, 2019 | |
| Jackson Hunter Miller |
Corporate Director |
Jan 1, 2019 | |
| Uva Community Health Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2021 | 100% |
| Pamela Kaye Sessoms |
Corporate Director |
Jan 1, 2018 | |
| Ian Alan McDonald |
Corporate Director |
Jan 1, 2017 | |
| Olivia Majesky Blackmon |
Corporate Director |
Jan 1, 2019 | |
| Patrick John Small |
Corporate Director |
Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140415001144 | VA | Part a Provider - Hospital | 4688817083 | Practice locations: Haymarket, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| General Acute Care Hospital | 282N00000X | H1938 | VA | Yes |
Addresses
Primary practice location
15225 Heathcote Blvd
Haymarket, VA 20169
Mailing address
PO Box 800750
Charlottesville, VA 22908-0750
Phone (434) 924-8344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124369137 | Medicaid | VA |
Other names
- UVA Health Haymarket Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Haymarket, VA
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Uva Community Health Medical Group, LLC
- Maricarmen Vendrell - Henson
- Brittani Vickers
- Laura Lynn Vinoski
- Virginia Counseling Collective LLC
- Virginia CVS Pharmacy LLC
All providers in Haymarket, VA · General Acute Care Hospital in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.