Healthcare Provider Details

I. General information

NPI: 1376565937
Provider Name (Legal Business Name): COMMUNITY MEDICINE UNIVERSITY OF VIRGINIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 12/07/2021
Certification Date: 12/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 IVY ROAD SUITE 205
CHARLOTTESVILLE VA
22908-1205
US

IV. Provider business mailing address

2955 IVY ROAD SUITE 205
CHARLOTTESVILLE VA
22908-1205
US

V. Phone/Fax

Practice location:
  • Phone: 434-243-4500
  • Fax: 434-293-8570
Mailing address:
  • Phone: 434-243-4500
  • Fax: 434-293-8570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA T POST
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 434-243-4500