Organization Active NPI

Urology of Virginia, PLLC

  • Urology Physician
  • Suffolk, VA
National Provider Identifier
1598042319
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Feb 1, 2022

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A180OtherVAGROUP MEDICARE PTAN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2143825Urology of Virginia, PLLC - Harbourview7185 Harbour Towne Parkway South - Suite 200, Suffolk, VA 23435Provider-performed microscopyFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.