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UVA HEALTH CRITICAL CARE MEDICINE PRINCE WILLIAM
NPI 1639618960
Internal Medicine - Critical Care Medicine in Manassas, VA

Active since February 20, 2017
8700 SUDLEY RD, MANASSAS, VA 20110(703) 396-5292 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2023, Oct 24, 2022, Sep 14, 2021 and 1 more (4 updates tracked since 2017).

About Uva Health Critical Care Medicine Prince William NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UVA HEALTH CRITICAL CARE MEDICINE PRINCE WILLIAM (NPI 1639618960) is a healthcare organization registered as a critical care medicine in Manassas, Virginia and active in the NPI registry since February 2017. The organization lists Charles D Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639618960
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameUVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Location Address8700 SUDLEY RDManassas, VA 20110-4418
Mailing AddressPo Box 748613Atlanta, GA 30384-8613
Phone(703) 396-5292
Organization SubpartNo
Authorized OfficialCharles D CoderCfo · (804) 835-2069
Enumeration DateFebruary 20, 2017
Last NPPES UpdateSeptember 26, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1639618960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
8700 SUDLEY RD, Manassas, VA 20110
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Other Names 1

Doing Business AsUva Health Critical Care Medicine Prince William

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN BRIEN CAMPBELL ANP
Nurse Practitioner
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 396-5292
SHARON AVILES
Behavior Analyst
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
DR. LIISA L LAAKSO DO
Radiology (Diagnostic Radiology)
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8073
THOMAS JOHN LUCKEY M.D.
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8337
JENNIFER KASIRSKY MD
Obstetrics & Gynecology
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
DR. LEE ERIC LORICO MD
Anesthesiology
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 392-6199
ERIC JOHN AHLERS M.D.
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
CHRISTIEN BYUN NP
Nurse Practitioner (Acute Care)
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 396-5292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Uva Community Health Medical Group, LLC's NPI number?

The NPI number for Uva Community Health Medical Group, LLC is 1639618960. It was assigned to this organization in the NPPES registry on February 20, 2017. The provider is doing business as Uva Health Critical Care Medicine Prince William.

Where is Uva Community Health Medical Group, LLC located?

Uva Community Health Medical Group, LLC is located at 8700 Sudley Rd, Manassas, VA 20110. The listed phone number is (703) 396-5292.

What is Uva Community Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Uva Community Health Medical Group, LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.