Provider Demographics
NPI:1376565937
Name:COMMUNITY MEDICINE UNIVERSITY OF VIRGINIA LLC
Entity Type:Organization
Organization Name:COMMUNITY MEDICINE UNIVERSITY OF VIRGINIA LLC
Other - Org Name:NORTHRIDGE INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-243-4500
Mailing Address - Street 1:2955 IVY ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-1205
Mailing Address - Country:US
Mailing Address - Phone:434-243-4500
Mailing Address - Fax:434-293-8570
Practice Address - Street 1:2955 IVY ROAD
Practice Address - Street 2:SUITE 205
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-1205
Practice Address - Country:US
Practice Address - Phone:434-243-4500
Practice Address - Fax:434-293-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA142618OtherSOUTHERN HEALTH
VACJ3358OtherMEDICARE RAILROAD
VAC06853Medicare PIN