NPIMap

Organization Active NPI

American Institute for Diseases of the Prostate, PLC

  • Specialist
  • Earlysville, VA
National Provider Identifier
1497887350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101050527 Issued in VA
Legal business name
AMERICAN INSTITUTE FOR DISEASES OF THE PROSTATE, PLC
Practice address
690 Bent Oaks Dr
Earlysville, VA 22936
Phone
(434) 964-0212
Fax
(434) 964-0216
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles E Myers Jr., M.D.NPI 1275866279
Title
Director
Phone
(434) 964-0212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101050527 VA Primary

Addresses

Primary practice location

690 Bent Oaks Dr
Earlysville, VA 22936

Mailing address

PO Box 195
Earlysville, VA 22936-0195
Phone (434) 964-0212

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497887350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229360195",
            "telephone_number": "434-964-0212",
            "fax_number": "434-964-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BENT OAKS DR",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "22936",
            "telephone_number": "434-964-0212",
            "fax_number": "434-964-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INSTITUTE FOR DISEASES OF THE PROSTATE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-964-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Earlysville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.