Joseph J. Konefal, M.D.
Individual provider Active NPI Urology Physician · Nassawadox, VA
NPI 1790763886 · NPPES record last updated Dec 9, 2013
Key facts
- NPI
- 1790763886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 0101033463 (VA)
- Practice address
- 9536 Hospital Ave
Nassawadox, VA 23413 - Phone
- (757) 442-6050
- Fax
- (757) 961-3696
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PC | Urology | Past | Accepting new patients |
| Urology of Virginia PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101033463 | VA | Yes |
Addresses
Primary practice location
9536 Hospital Ave
Nassawadox, VA 23413
Mailing address
9536 Hospital Ave
Nassawadox, VA 23413
Phone (757) 442-6050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15317 | Other | VA | SENTARA HEALTHCARE |
| 331810 | Other | VA | ANTHEM BC BS |
| 007502290 | Medicaid | VA |
Other providers in Nassawadox, VA
- Linwood Thomas Joyner II
- James Kaye
- Lloyd Joseph Kellam III
- Laura Diane Kerbin
- David Jay Klein
- John Willis Konkel
- Kay Laird
- Theresa Genetelli Long
- James Lund McDaniel
- Robert Joseph Miller
All providers in Nassawadox, VA · Urology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.