Active NPI
Urology of Virginia, PLLC
- Urology Physician
- Suffolk, VA
National Provider Identifier
1598042319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY OF VIRGINIA, PLLC
- Practice address
- 7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3896 - Phone
- (757) 457-5100
- Fax
- (757) 452-3402
- NPI assigned
- Nov 8, 2011
- Reactivated
- Mar 15, 2018
- 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, MD
- Title
- President
- Phone
- (757) 452-3417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
7185 Harbour Towne Pkwy S Ste 200
Suffolk, VA 23435-3896
Mailing address
225 Clearfield Ave
VA Beach, VA 23462-1815
Phone (757) 452-3599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A180 | Other | VA | GROUP MEDICARE PTAN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2143825 | Urology of Virginia, PLLC - Harbourview | Provider-performed microscopy | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1598042319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-452-3599",
"fax_number": "757-961-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7185 HARBOUR TOWNE PKWY S STE 200",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353896",
"telephone_number": "757-457-5100",
"fax_number": "757-452-3402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY OF VIRGINIA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"deactivation_date": "2018-03-05",
"reactivation_date": "2018-03-15",
"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": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE 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 Suffolk, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.