Organization Active NPI

Urology Center of Southwest Virginia, Inc.

  • Urology Physician
  • Abingdon, VA
National Provider Identifier
1740450899
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101058458 Issued in VA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1740450899MedicaidVA
Q029896MedicaidTN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.