PS Fertility Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PS FERTILITY INC

Practice address

3030 Vision LN # 250
Charlottesville, VA 22903-4146

Phone

(866) 207-6555

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By 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

Eugene Scavola

Title

Cfo

Phone

(804) 399-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1770268229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 VISION LN # 250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034146",
            "telephone_number": "866-207-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 VISION LN # 250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034146",
            "telephone_number": "866-207-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS FERTILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SCAVOLA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-399-6000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose J Provencio, M.D.
• Providential Homecare
• Bruce E. Prum Jr.
• Tyler Stephen Prusisz, MD
• Evan Pryse
• Psychiatric Alliance of the Blue Ridge (PABR Inc)
• PT Plus at Heritage Inn, LLC (PT Plus)
• PT Plus Charlottesville, Inc. (PT Plus Physical Therapy & Wellness Center)
• Christopher J Pucci, PA
• Logan Alexander Pucci, MD

• Clinical Medical Laboratory in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.