AMERICAN INSTITUTE FOR DISEASES OF THE PROSTATE, PLC (NPI# 1497887350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497887350 |
| Entity Type | Organization |
| Organization Name | AMERICAN INSTITUTE FOR DISEASES OF THE PROSTATE, PLC |
| Practice Address |
690 Bent Oaks Dr Earlysville VA 22936 |
| Mailing Address |
Po Box 195 Earlysville VA 22936-0195 |
| Practice Telephone | 4349640212 |
| Practice Fax Number | 4349640216 |
| Mailing Telephone | 4349640212 |
| Mailing Fax Number | 4349640216 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES E MYERS JR. (DIRECTOR) |
| Authorized Official Telephone | 4349640212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101050527 | VA | Other Service Providers |
| Street Address |
690 BENT OAKS DR |
| City | EARLYSVILLE |
| State | VA |
| Zip Code | 22936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265454359 | Leo Mallek | Dentist | 690 Bent Oaks Dr, Earlysville, VA 22936-0651 | 2006-07-24 |
| 1275866279 | Charles E Myers Jr. | Specialist | 690 Bent Oaks Dr, Earlysville, VA 22936-2605 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544032 | Ashley Elizabeth Holden | Specialist | 832 Reas Ford Rd, Earlysville, VA 22936 | 2015-12-31 |
| 1942424650 | Donald Lee Driscoll | Dentist | 1522 Prison Road, Dillwyn, VA 22936-0670 | 2007-04-12 |
| 1770690950 | Elizabeth Ann Alcorn | Dentist | 1358 Allen Farm Ln, Earlysville, VA 22936-1853 | 2006-08-24 |
| 1922541903 | Lisa Tullo | Behavioral Analyst | 1893 Frays Ridge Xing, Earlysville, VA 22936-1878 | 2016-11-23 |
| 1558865360 | Choice Point, LLC | Behavioral Analyst | 1893 Frays Ridge Xing, Earlysville, VA 22936-1878 | 2018-03-19 |
| 1336192145 | Richard Lane | Radiology | 3824 Bleak House Rd, Earlysville, VA 22936-2206 | 2006-05-19 |
| 1740498831 | Haddon Christopher Alexander IIi | Internal Medicine | 3474 Bleak House Rd, Earlysville, VA 22936-2213 | 2007-05-20 |
| 1578572020 | Gayle Gutierrez | Psychiatry & Neurology | 70 Graemont Ln, Earlysville, VA 22936-2456 | 2006-08-05 |
| 1124037668 | Luis Gutierrez | Psychiatry & Neurology | 70 Graemont Ln, Earlysville, VA 22936-2456 | 2006-08-05 |
| 1457584690 | Jean C Morris | Physical Therapist | 4000 Two Stone Row, Earlysville, VA 22936-2459 | 2009-09-03 |
| Find all providers in zip 22936 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544032 | Ashley Elizabeth Holden | Specialist | 832 Reas Ford Rd, Earlysville, VA 22936 | 2015-12-31 |
| 1275866279 | Charles E Myers Jr. | Specialist | 690 Bent Oaks Dr, Earlysville, VA 22936-2605 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | EARLYSVILLE |
| Zip Code | 22936 |
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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.