Provider Demographics
NPI:1578571238
Name:CHENAULT-OSTROFF UROLOGICAL ASSOC LTD
Entity Type:Organization
Organization Name:CHENAULT-OSTROFF UROLOGICAL ASSOC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:AUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-483-1403
Mailing Address - Street 1:4037 TAYLOR RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5535
Mailing Address - Country:US
Mailing Address - Phone:757-483-1403
Mailing Address - Fax:757-483-3757
Practice Address - Street 1:4037 TAYLOR RD
Practice Address - Street 2:SUITE A
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5535
Practice Address - Country:US
Practice Address - Phone:757-483-1403
Practice Address - Fax:757-483-3757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051804208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1265424972OtherNPI DR DANIEL E BOYLE JR
VA7500475Medicaid
VA1134111875OtherNPI DR EDWARD B OSTROFF
VA1144212051OtherNPI DR JAMES R AUMAN
VA7500785Medicaid
VA042720OtherBCBS DR JAMES R AUMAN
VA7550839Medicaid
VA011194OtherBCBS DR EDWARD B OSTROFF
VA217122OtherBCBS DR DANIEL E BOYLE JR
VA7500475Medicaid
VA011194OtherBCBS DR EDWARD B OSTROFF
VA217122OtherBCBS DR DANIEL E BOYLE JR