Active NPI
Pitman Surgical Associates
- Specialist
- Williamsburg, VA
National Provider Identifier
1376560441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101014066
- Legal business name
- PITMAN SURGICAL ASSOCIATES
- Practice address
- 326 Monticello Ave
Williamsburg, VA 23185-2834 - Phone
- (757) 229-4958
- Fax
- (757) 229-3118
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Laura M Smith
- Title
- Office Manager
- Phone
- (757) 229-4958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101014066 | VA | Primary |
Addresses
Primary practice location
326 Monticello Ave
Williamsburg, VA 23185-2834
Mailing address
326 Monticello Ave
Williamsburg, VA 23185-2834
Phone (757) 229-4958
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7400870 | Medicaid | VA | |
| 283309 | Other | VA | ANTHEM BSBC |
National Provider Directory
National Provider DirectoryLocations
326 Monticello Ave
Williamsburg, VA 23185
Phone (757) 229-4958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1376560441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 MONTICELLO AVE",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231852834",
"telephone_number": "757-229-4958",
"fax_number": "757-229-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 MONTICELLO AVE",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231852834",
"telephone_number": "757-229-4958",
"fax_number": "757-229-3118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITMAN SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "757-229-4958",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": "0101014066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7400870",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BSBC",
"identifier": "283309",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.