Med Atlantic Inc Dba Urosurgical Ctr of Richmond

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH677 Issued in VA

Legal business name

MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND

Practice address

5224 Monument Ave
Richmond, VA 23226-1405

Phone

(804) 288-4137

NPI assigned

Jul 14, 2006

Organization subpart

Yes

Parent organization

MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMONDAs reported in NPPES

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

Authorized official

Name

Mr. Terry Coffey

Title

Administrator

Phone

(804) 287-6100

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Med Atlantic Inc dba Urosurgical Ctr of Richmond Other name

Tax ID family

Med Atlantic Inc Dba UC2 organizations share this tax ID, including this one

Part of

Med Atlantic Inc Dba UC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Med Atlantic Inc

  • Ambulatory Surgical Clinic/Center
  • Richmond, VA
  • NPI 1033135314
  NPD tax ID

Practitioners 1

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

• Howard F Faunce III, M.D. , D.O., F.A.C.R

  • Diagnostic Radiology Physician
  • Richmond, VA
  • NPI 1811936420
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1972529261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 STONY POINT PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351979",
            "telephone_number": "804-287-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261405",
            "telephone_number": "804-288-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-287-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0597537",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "160657",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007631405",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490000221",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Atlantic Inc dba Urosurgical Ctr of Richmond",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda F. Meadows, FNP
• James C Meadows, M.D.
• Miranda Means
• Sara Hammett Mears, MD
• Med Atlantic Inc
• Med-Air, Inc.
• Med-Trans Corporation
• Medarva Imaging
• Medco Health Solutions of Richmond LLC
• Steven Anthony Medeiros Jr., MD

• Ambulatory Surgical Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.