NPIMap

Organization Active NPI

Ladysmith Urgent Care Center

  • Surgery Physician
  • Ruther Glen, VA
National Provider Identifier
1962431155
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101233881 Issued in VA
Legal business name
LADYSMITH URGENT CARE CENTER
Practice address
17428 Center Dr
Suite E
Ruther Glen, VA 22546-2885
Phone
(804) 448-4885
Fax
(804) 448-4886
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sudhir Gulati, M.D.
Title
Physician/Owner
Phone
(804) 448-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0101233881 VA Primary

Addresses

Primary practice location

17428 Center Dr
Suite E
Ruther Glen, VA 22546-2885

Mailing address

17428 Center Dr
Suite E
Ruther Glen, VA 22546-2885
Phone (804) 448-4885

National Provider Directory

National Provider Directory

Locations

17428 Center Dr
Ste E
Ruther Glen, VA 22546
Phone (804) 448-4885

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962431155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17428 CENTER DR",
            "address_2": "SUITE E",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462885",
            "telephone_number": "804-448-4885",
            "fax_number": "804-448-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17428 CENTER DR",
            "address_2": "SUITE E",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462885",
            "telephone_number": "804-448-4885",
            "fax_number": "804-448-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADYSMITH URGENT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GULATI",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "804-448-4885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101233881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruther Glen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.