MARTHA JEFFERSON HOSPITAL (NPI# 1346248663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346248663 |
| Entity Type | Organization |
| Organization Name | MARTHA JEFFERSON HOSPITAL |
| Practice Address |
500 Martha Jefferson Dr Charlottesville VA 22911-4668 |
| Mailing Address |
Po Box 2556 Charlottesville VA 22902-2556 |
| Practice Telephone | 4346547000 |
| Mailing Telephone | 4346547000 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. ROBERT A BROERMANN (CFO) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1872 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS PROVIDER NUMBE | 000012 | 01 |
| VA | 004900774 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225452303 | Martha Jefferson Hospital | Clinic/Center | 595 Martha Jefferson Dr, Suite 290, Charlottesville, VA 22911-4669 | 2014-02-11 |
| 1437420213 | Martha Jefferson Hospital | Pharmacy | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2012-01-25 |
| 1912228628 | Martha Jefferson Hospital | Durable Medical Equipment & Medical Supplies | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2010-06-16 |
| 1942397153 | Martha Jefferson Hospital | Clinical Medical Laboratory | 595 Peter Jefferson Pkwy, 3rd Floor, Charlottesville, VA 22911 | 2006-10-07 |
| 1477571206 | Martha Jefferson Hospital | Internal Medicine | 500 Martha Jefferson Drive, Mb# G231, Charlottesville, VA 22911-4668 | 2006-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Martha Jefferson Hospital | Martha Jefferson Hospital, 500 Martha Jefferson Drive, Charlottesville, Virginia 22911 |
| Street Address |
500 MARTHA JEFFERSON DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548175 | Tiffany Kristen White | Pharmacist | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2020-11-06 |
| 1174094114 | Deveryn Bailey | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-12-17 |
| 1013496116 | Jennifer Graham Stancil | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-08-09 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1629585450 | Jennifer L Raymond | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2018-01-02 |
| 1033634845 | Melissa Volpe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2017-08-14 |
| 1376068973 | Laura R Trissel | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-08-04 |
| 1497277396 | Gina Gilmore | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-07-12 |
| 1013437854 | Alison Burkholder Heavenridge | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-06-22 |
| 1497283154 | Lori T Hage | Hospitalist | 500 Martha Jefferson Dr, Inpatient Services, Charlottesville, VA 22911-4668 | 2017-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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 |
|---|---|---|---|---|
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
| 1629404108 | University of Virginia | General Acute Care Hospital | Department of Radiology Neuroradiology, 1215 Lee Street New Hospital, Charlottesville, VA 22908-0001 | 2013-09-17 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1780630608 | Rector & Visitors of The University of Virginia | General Acute Care Hospital | 1215 Lee St Pfs, Charlottesville, VA 22908-0816 | 2006-05-25 |
| 1538518337 | Kathryn Bast | General Acute Care Hospital | 1215 Lee Street, Uva Health System, Dept. Chaplaincy Services and Pastor, Charlottesville, VA 22903 | 2016-06-13 |
| 1073986162 | Julia Gyampoh | General Acute Care Hospital | 1240 Lee St, Charlottesville, VA 22908-0816 | 2015-11-11 |
| 1891112975 | Thomas Braciale M.d. Ph.d. | General Acute Care Hospital | Uva Health System, 345 Crispell Drive, Charlottesville, VA 22908-0001 | 2014-03-26 |
| 1245576040 | Abdullah Alrbiaan | General Acute Care Hospital | 1925 Beechcrest Court, Unit 203, Charlottesville, VA 22903 | 2012-12-26 |
| 1114217098 | University of Virginia Medical Center | General Acute Care Hospital | 1215 Lee St, Charlottesville, VA 22908-0816 | 2011-04-13 |
| 1699976019 | University of Virginia Health System | General Acute Care Hospital | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-05-31 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on MARTHA JEFFERSON HOSPITAL.
| 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.