Atlantic Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101024391 Issued in VA

Legal business name

ATLANTIC UROLOGY LLC

Practice address

681 Battlefield Blvd N Ste H
Chesapeake, VA 23320-4951

Phone

(757) 549-8059

Fax

(757) 436-3498

NPI assigned

Oct 17, 2006

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Lustig, M.D.

Title

Owner

Phone

(757) 549-8059

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1386725661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 BATTLEFIELD BLVD N STE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204951",
            "telephone_number": "757-549-8059",
            "fax_number": "757-436-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 BATTLEFIELD BLVD N STE H",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204951",
            "telephone_number": "757-549-8059",
            "fax_number": "757-436-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-549-8059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101024391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.