NPIMap

Organization Active NPI

Urology Clinic of Winchester, P.C.

  • Urology Physician
  • Winchester, VA
National Provider Identifier
1831290451
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CLINIC OF WINCHESTER, P.C.
Practice address
1712 Amherst St
Winchester, VA 22601-2807
Phone
(540) 677-1712
Fax
(540) 665-0045
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Raymond Wesley Hillyard Jr., M.D.
Title
Director
Phone
(540) 667-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1712 Amherst St
Winchester, VA 22601-2807

Mailing address

1712 Amherst St
Winchester, VA 22601-2807
Phone (540) 677-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000346 VA Part B Supplier - Clinic/Group Practice 6507843398 Receives reassigned benefits from 7 practitioners
Practice locations: Front Royal, VA; Winchester, VA

National Provider Directory

National Provider Directory

Locations

1077 N Shenandoah Ave
#A
Front Royal, VA 22630
Phone (540) 635-0780

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1831290451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012807",
            "telephone_number": "540-677-1712",
            "fax_number": "540-665-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012807",
            "telephone_number": "540-677-1712",
            "fax_number": "540-665-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC OF WINCHESTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HILLYARD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-667-1712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.