NPIMap

Organization Active NPI

Urologic Surgery, PC

  • Urology Physician
  • Salem, VA
National Provider Identifier
1982637401
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101026975 Issued in VA
Legal business name
UROLOGIC SURGERY, PC
Practice address
1802 Braeburn Dr
Suite 2130
Salem, VA 24153-7357
Phone
(540) 904-7534
Fax
(540) 904-7545
NPI assigned
Jul 8, 2006
Last updated
Apr 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dennis D Garvin, MD
Title
President
Phone
(540) 904-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 0101026975 VA Primary

Addresses

Primary practice location

1802 Braeburn Dr
Suite 2130
Salem, VA 24153-7357

Mailing address

PO Box 21672
Roanoke, VA 24018
Phone (540) 904-7534

National Provider Directory

National Provider Directory

Locations

1802 Braeburn Dr
Ste 2130
Salem, VA 24153
Phone (540) 444-4670

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1982637401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21672",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-904-7534",
            "fax_number": "540-904-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "address_2": "SUITE 2130",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-904-7534",
            "fax_number": "540-904-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-904-7534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "VA",
            "license": "0101026975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.