Provider Type Icon

MED ATLANTIC INC NPI 1033135314


NPI Information

NPI: 1033135314
Provider Name: MED ATLANTIC INC

Other Name: MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
9101 STONY POINT PKWY
RICHMOND, VA
ZIP 23235
Phone: (804) 287-6100
Get Directions

MED ATLANTIC INC is an ambulatory surgical clinic center in Richmond, VA. MED ATLANTIC INC NPI is 1033135314. The provider is registered as an organization entity type.
The provider Other Name Is Med Atlantic Inc Dba Urosurgical Ctr Of Richmond.

The provider's business location address is:

9101 STONY POINT PKWY
RICHMOND, VA
ZIP 23235-002
Phone: (804) 287-6100

The provider's authorized official is Brigette Booth .
The authorized official title is Administrator and has the following contact phone number (804) 287-6100.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 9/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalOH679VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1007631405MEDICAIDVIRGINIA
2490000221OTHERVIRGINIARAILROAD MEDICARE
30597537OTHERVIRGINIAAETNA PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.