Northern Virginia Urology, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHERN VIRGINIA UROLOGY, PLLC

Practice address

10301 Democracy LN
Suite 410
Fairfax, VA 22030-2545

Phone

(703) 876-5942

Fax

(703) 876-5972

NPI assigned

Oct 4, 2006

Last updated

Mar 5, 2008By 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

Mrs. Maryjo Mayberry McKenna, CPC

Title

Central Business Office Manager

Phone

(703) 876-5942

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Fe Inderio Hauptmann, N.P.

  • Adult Health Nurse Practitioner
  • Reston, VA
  • NPI 1205014479
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1689769861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN",
            "address_2": "SUITE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-876-5942",
            "fax_number": "703-876-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN",
            "address_2": "SUITE 410",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "703-876-5942",
            "fax_number": "703-876-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "MARYJO",
        "authorized_official_middle_name": "MAYBERRY",
        "authorized_official_title_or_position": "CENTRAL BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "703-876-5942",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689769861",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7845793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "N190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1220932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northstar Anesthesia of Virginia Pain LLC
• Norvinia Health PC
• Gregory Nosal, D.M.D.
• Nothingbetter Health PLC

• Specialist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.