PRINCE WILLIAM HOSPITAL (NPI# 1124369137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124369137 |
| Entity Type | Organization |
| Organization Name | PRINCE WILLIAM HOSPITAL |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM HAYMARKET MEDICAL CENTER |
| Practice Address |
15225 Heathcote Blvd Haymarket VA 20169 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103-5614 |
| Practice Telephone | 5712841000 |
| Practice Fax Number | 5712841009 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | STEPHEN MONROE SMITH (PRESIDENT & COO) |
| Authorized Official Telephone | 7033698669 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRINCE WILLIAM HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 282N00000X | General Acute Care Hospital | H1938 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1124369137 | 05 |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Haymarket Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
| 1245745504 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2017-12-08 |
| 1841657434 | Prince William Hospital | Nurse Anesthetist, Certified Registered | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2016-01-27 |
| 1568852614 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-01-28 |
| 1972906212 | Prince William Hospital | Pharmacy | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2014-10-01 |
| 1992095079 | Prince William Hospital | Pediatrics | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2011-04-11 |
| 1205987898 | Prince William Hospital | Psychiatric Hospital | 8680 Hospital Way, Manassas, VA 20110 | 2007-01-12 |
| 1417005760 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2007-01-05 |
| 1396827036 | Prince William Hospital | Home Health | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PRINCE WILLIAM HOSPITAL | 8700 Sudley Rd, Manassas, Virginia 20110 |
| Street Address |
15225 HEATHCOTE BLVD |
| City | HAYMARKET |
| State | VA |
| Zip Code | 20169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609064161 | Malikah Hafeeza Day | Pharmacist | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2007-10-10 |
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1619462454 | Dorris Lockamy Glaspy | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2018-06-25 |
| 1437698636 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2017-02-21 |
| 1841657434 | Prince William Hospital | Nurse Anesthetist, Certified Registered | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2016-01-27 |
| 1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
| 1154796696 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-09 |
| 1639509458 | Novant Medical Group Inc | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169 | 2013-11-14 |
| 1003244260 | Evelyn Roxana Saldana | Nurse Practitioner | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2013-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831608025 | Renu Kaur | Social Worker | 15709 Foleys Mill Place, Haymarket, VA 20169 | 2017-09-20 |
| 1760928188 | Meae Nam | Home Health Aide | 6429 Ashby Grove Loop, Haymarket, VA 20169 | 2017-01-09 |
| 1497177406 | Candy Faviola Suarez | Physician Assistant | 15195 Heathcote Blvd Ste 230, Haymarket, VA 20169 | 2014-01-09 |
| 1649617101 | Nicholas Dugan | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169 | 2013-05-23 |
| 1336497049 | Wal-mart Stores East Lp | Technician/Technologist | 6530 Trading Square, Haymarket, VA 20169 | 2012-08-28 |
| 1750637641 | Hema R Gajula | Psychiatry & Neurology | 15195 Heathcote Blvd Ste 350, Haymarket, VA 20169 | 2012-07-27 |
| 1689950396 | Meskerem Getachew | Pharmacist | 15610 Admiral Baker Circle, Haymarket, VA 20169 | 2011-10-26 |
| 1770861213 | Jenna Siracuse Loewer | Physical Therapist | 5401 Merchants View Sq, Haymarket, VA 20169 | 2011-08-02 |
| 1669767679 | Jeff Moon | Dentist | 6735 Leaberry Way, Haymarket, VA 20169 | 2011-06-17 |
| 1710159272 | David Wen | Psychologist | 6611 Jefferson St Ste 304, Haymarket, VA 20169 | 2008-03-25 |
| Find all providers in zip 20169 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997357 | Prince William Hospital | General Acute Care Hospital | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.