CHUCK G PRUNA (NPI# 1407049265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407049265 |
| Entity Type | Individual |
| Full Name | CHUCK G PRUNA |
| Credential | D.O. |
| Practice Address |
19415 Deerfield Ave Suite 112 Leesburg VA 20176-8452 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037241195 |
| Practice Fax Number | 7037244495 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0102203292 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0102203292 | 05 |
| Street Address |
19415 DEERFIELD AVE SUITE 112 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-8452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745794 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2015-07-17 |
| 1649662339 | Crescent Medical Arts | Internal Medicine | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2015-03-04 |
| 1821492067 | Kelly Ashley Boardman | Physician Assistant | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2014-10-17 |
| 1356780746 | Rachel Swinger Sposito | Nurse Practitioner | 19415 Deerfield Ave, Suite 202, Leesburg, VA 20176-8452 | 2013-06-18 |
| 1093066284 | Mari E Parker | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 | 2012-09-27 |
| 1174879944 | Loudoun Medical Group PC | Internal Medicine | 19415 Deerfield Ave, Suite 107, Leesburg, VA 20176-8452 | 2012-07-31 |
| 1366709651 | Loudoun Medical Group PC | Pediatrics | 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 | 2012-04-12 |
| 1093091530 | Navin Hukmani, Dds, LLC | Dentist | 19415 Deerfield Ave, Suite 306, Leesburg, VA 20176-8452 | 2011-10-28 |
| 1922325000 | Kathleen I Cage | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 | 2010-04-28 |
| 1588827968 | Christopher L. Starks | Urology | 19415 Deerfield Ave, Suite112, Leesburg, VA 20176-8452 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1942326251 | Kambiz Tajkarimi | Urology | 44055 Riverside Pkwy Ste 208, Leesburg, VA 20176-5176 | 2007-03-21 |
| 1730155672 | Andrew B Sher | Urology | 616 N Palmetto St, Leesburg, FL 34748-4417 | 2006-02-28 |
| 1730173360 | Walter M O'brien | Urology | 19415 Deerfield Ave Ste 112, Leesburg, VA 20176-8470 | 2005-09-09 |
| 1235469206 | Christine Ngoc Bich Tran | Urology | 19415 Deerfield Ave Ste 112, Leesburg, VA 20176-8470 | 2010-01-13 |
| 1588827968 | Christopher L. Starks | Urology | 19415 Deerfield Ave, Suite112, Leesburg, VA 20176-8452 | 2008-07-07 |
| 1043498660 | David R Brunetti M D P A | Urology | 616 N Palmetto St, Leesburg, FL 34748-4417 | 2008-02-06 |
| 1679759039 | Loudoun Medical Group PC | Urology | 224 D Cornwall Street Nw, Suite 400, Leesburg, VA 20176 | 2008-01-16 |
| 1740479971 | Jennifer Lee Young | Urology | 19415 Deerfield Ave, Suite 112, Leesburg, VA 20176-8452 | 2007-10-24 |
| 1346437415 | Andrew B Sher Md Pa | Urology | 616 N Palmetto St, Leesburg, FL 34748-4417 | 2007-10-02 |
| Find all providers in LEESBURG | ||||
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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.