Active NPI
Urology Center of Southwest Virginia, Inc.
- Urology Physician
- Abingdon, VA
National Provider Identifier
1740450899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101058458
- Legal business name
- UROLOGY CENTER OF SOUTHWEST VIRGINIA, INC.
- Practice address
- 390 Commerce Dr
Abingdon, VA 24211-3876 - Phone
- (276) 623-0500
- NPI assigned
- Mar 5, 2008
- Last updated
- Nov 28, 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
- Mrs. Marisol Spiegel
- Title
- Office Manager
- Phone
- (276) 623-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101058458 | VA | Primary |
Addresses
Primary practice location
390 Commerce Dr
Abingdon, VA 24211-3876
Mailing address
390 Commerce Dr
Abingdon, VA 24211-3876
Phone (276) 623-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450899 | Medicaid | VA | |
| Q029896 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1740450899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 COMMERCE DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242113876",
"telephone_number": "276-623-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 COMMERCE DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242113876",
"telephone_number": "276-623-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CENTER OF SOUTHWEST VIRGINIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "SPIEGEL",
"authorized_official_first_name": "MARISOL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "276-623-0500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "VA",
"license": "0101058458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740450899",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q029896",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.