NPIMap

Organization Active NPI

Uva Prince William Medical Center

Doing business as UVA Health Haymarket Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
National Provider Identifier
1124369137
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H1938 Issued in VA
Legal business name
UVA PRINCE WILLIAM MEDICAL CENTER
Doing business as
UVA Health Haymarket Medical Center
Practice address
15225 Heathcote Blvd
Haymarket, VA 20169
Phone
(571) 284-1000
Fax
(571) 284-1009
NPI assigned
Mar 15, 2013
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Charles D Coder
Title
Chief Financial Officer
Phone
(804) 835-2069

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X H1938 VA Primary

Addresses

Primary practice location

15225 Heathcote Blvd
Haymarket, VA 20169

Mailing address

PO Box 403059
Atlanta, GA 30384-3059

Other identifiers 1

IdentifierTypeStateIssuer
1124369137MedicaidVA

Other names 1

  • UVA Health Haymarket Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140415001144 VA Part A Provider - Hospital 4688817083 Practice locations: Haymarket, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124369137. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
15225 Heathcote Blvd
Haymarket, VA 20169-6264
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Uva Health Haymarket Medical CenterCCN 490144 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen Craig Nelson Individual Corporate DirectorBot Jan 1, 2017
Stephen M Smith Individual Corporate DirectorPresident Jan 1, 2018
Steven Danziger Individual Corporate Officer Jan 1, 2013
Corporate DirectorBot Chair Jan 1, 2013
Douglas J Markert Individual Corporate DirectorBoard Member Jan 1, 2019
Charles Coder Individual Contracted Managing EmployeeChief Financial Officer Oct 1, 2021
Corporate OfficerChief Financial Officer Oct 1, 2021
Operational/Managerial ControlChief Financial Officer Oct 1, 2021
Jacqueline France Krick Individual Corporate DirectorBot Jan 1, 2017
Kevin Patrick Kelley Individual Corporate DirectorBot Secretary Jan 1, 2016
Rector & Visitors of the University of Virginia Organization, Charlottesville, VA 5% Or Greater Indirect Ownership Interest Jan 1, 2016 100%
Operational/Managerial Control Jul 1, 2021 100%
Vikram Khot Individual Corporate Officer Jan 1, 2013
Corporate DirectorBoard Member Jan 1, 2013
Sara White Individual W-2 Managing EmployeeSenior Director Controller Oct 1, 2021
Uva Prince William Health System Organization, Winston Salem, NC Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Ross S Switkes Individual Corporate DirectorBoard Member Jan 1, 2019
Jackson Hunter Miller Individual Corporate DirectorBoard Member Jan 1, 2019
Uva Community Health Inc Organization, Warrenton, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2021 100%
Pamela Kaye Sessoms Individual Corporate DirectorBot Member Jan 1, 2018
Ian Alan McDonald Individual Corporate DirectorBot Jan 1, 2017
Olivia Majesky Blackmon Individual Corporate DirectorBoard Member Jan 1, 2019
Patrick John Small Individual Corporate DirectorBot Member Jan 1, 2018

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 21

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 632

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 632

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1124369137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403059",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HEATHCOTE BLVD",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "20169",
            "telephone_number": "571-284-1000",
            "fax_number": "571-284-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVA PRINCE WILLIAM MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "CODER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "804-835-2069"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H1938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124369137",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UVA Health Haymarket Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haymarket, VA

Sources for this page

Verify at the official NPI Registry.