Active NPI
Urology of Virginia, PLLC
- Urology Physician
- Virginia Beach, VA
National Provider Identifier
1376913376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY OF VIRGINIA, PLLC
- Practice address
- 229 Clearfield Ave Ste 300
Virginia Beach, VA 23462-1815 - Phone
- (757) 457-5100
- Fax
- (757) 961-3696
- NPI assigned
- Oct 2, 2015
- 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
- Jennifer U Miles-Thomas, M.D.
- Title
- President
- Phone
- (757) 452-3417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
229 Clearfield Ave Ste 300
Virginia Beach, VA 23462-1815
Mailing address
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A180 | Other | VA | GROUP MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1376913376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 CLEARFIELD AVE STE 300",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-457-5100",
"fax_number": "757-961-3696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-02",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A",
"authorized_official_last_name": "MILES-THOMAS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-452-3417",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "A180",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.