MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND NPI 1972529261

NPI Information

NPI: 1972529261
Provider Name: MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND

Other Name: MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND

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

Specialization: Ambulatory Surgical

Address:
5224 MONUMENT AVE
RICHMOND, VA
ZIP 23226
Phone: (804) 288-4137
Get Directions

MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND is an ambulatory surgical clinic center in Richmond, VA. MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND NPI is 1972529261. 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:

5224 MONUMENT AVE
RICHMOND, VA
ZIP 23226-405
Phone: (804) 288-4137

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

The enumeration date for this NPI number is 7/14/2006 and was last updated on 6/17/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OH677	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0597537	OTHER	VIRGINIA	AETNA PPO
2	490000005	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE
3	160657	OTHER	VIRGINIA	SOUTHERN HEALTH
4	490000221	OTHER	VIRGINIA	RAILROAD MEDICARE
5	007631405	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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