Healthcare Provider Details

I. General information

NPI: 1124757729
Provider Name (Legal Business Name): URGENT SPECIALTY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD STE 280
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

13500 POWERS CT STE 230
FORT MYERS FL
33912-4503
US

V. Phone/Fax

Practice location:
  • Phone: 804-716-7758
  • Fax: 804-918-8664
Mailing address:
  • Phone: 817-856-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN D JOSEPHS
Title or Position: PRESIDENT
Credential: MD
Phone: 469-609-9908