Fredrick Sanders Arnold, MD
Individual provider Active NPI Urology Physician · Gloucester, VA
NPI 1477541142 · NPPES record last updated Sep 23, 2013
Key facts
- NPI
- 1477541142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 0101037980 (VA)
- Practice address
- 7552 Hospital Dr
Suite 302
Gloucester, VA 23061-4178 - Phone
- (804) 693-9062
- Fax
- (804) 693-9875
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037980 | VA | MD | Urology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101037980 | VA | Yes |
Addresses
Primary practice location
7552 Hospital Dr
Suite 302
Gloucester, VA 23061-4178
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010274974 | Medicaid | VA |
Other providers in Gloucester, VA
- Jennifer Anderson
- Kelsey Anderson
- Kimberly Ann Anderson
- Tyler John Anderson
- Ann L Lagonegro DMD PC
- Kristina Edwards Atkins
- Sherie H. Austin
- Brandy Balzer
- Oleg V Bandurco
- Susan J Barker
All providers in Gloucester, VA · Urology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.