University of Virginia Physicians Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP

Practice address

1015 Spring Creek Pkwy
Room 2019
Zion Crossroads, VA 22942-7019

Phone

(434) 243-4670

Fax

(434) 243-4665

NPI assigned

Sep 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brad E. Haws

Title

Chief Executive Officer

Phone

(434) 980-6117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prosthestics and Orthotics Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1821545294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007",
            "telephone_number": "434-295-1000",
            "fax_number": "434-972-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 SPRING CREEK PKWY",
            "address_2": "ROOM 2019",
            "city": "ZION CROSSROADS",
            "state": "VA",
            "postal_code": "229427019",
            "telephone_number": "434-243-4670",
            "fax_number": "434-243-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF VIRGINIA PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-02",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "HAWS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "434-980-6117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578685475",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prosthestics and Orthotics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prosthestics and Orthotics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Somer Nicole Stone, SLP
• Henry Clay Surber, PA-C
• Mansi Trivedi, MD
• Gregory Robert Turissini
• University of Virginia Imaging, LLC
• Catherine W. Varney, DO
• Jenna Vincent, PT
• Wal-Mart Stores East LP
• Courtney J Walker, MS OT
• Roxanne Weatherman, PHARMD

• Durable Medical Equipment & Medical Supplies in Zion Crossroads, VA
• Providers in Zion Crossroads, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.