Med Atlantic Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH679 Issued in VA

Legal business name

MED ATLANTIC INC

Practice address

8228 Meadowbridge Rd
Mechanicsville, VA 23116-2331

Phone

(804) 730-5023

NPI assigned

Jul 17, 2006

Last updated

Mar 22, 2013By 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

Mr. Terry Coffey

Title

Administrator

Phone

(804) 287-6100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Med Atlantic Inc dba Urosurgical Ctr Of Richmond Other name

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1568489086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 STONY POINT PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-287-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8228 MEADOWBRIDGE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162331",
            "telephone_number": "804-730-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ATLANTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-287-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007631405",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "160657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0597537",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Atlantic Inc dba Urosurgical Ctr Of Richmond",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mechanicsville Chemist LLC (Bell Creek Pharmacy)
• Mechanicsville Chemist LLC
• Mechanicsville Drug Store Inc (Mechanicsville Drug Store)
• Mechanicsville Medical Center Family Physicians, P.L.L.C.
• Thomas Shawn Mechling, PA-C
• Medcare Foot & Ankle Specialists PLLC
• Dorothy Anne Medina, ACNP
• Matthew Meekins
• Elizabeth Wei-Ming Mei, DDS
• Anthony C. Melchiorre, PSY.D.

• Ambulatory Surgical Clinic/Center in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

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

Verify at the official NPI Registry.