Basic Information
Provider Information
NPI: 1144212051
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUMAN
FirstName: JAMES
MiddleName: RICHARD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4037 TAYLOR RD
Address2: SUITE A
City: CHESAPEAKE
State: VA
PostalCode: 233215535
CountryCode: US
TelephoneNumber: 7574831403
FaxNumber: 7574833757
Practice Location
Address1: 4037 TAYLOR RD
Address2: SUITE A
City: CHESAPEAKE
State: VA
PostalCode: 233215535
CountryCode: US
TelephoneNumber: 7574831403
FaxNumber: 7574833757
Other Information
ProviderEnumerationDate: 08/17/2005
LastUpdateDate: 03/17/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X0101051804VAY Allopathic & Osteopathic PhysiciansUrology 

ID Information
IDTypeStateIssuerDescription
1595201VAOPTIMA/SENTARAOTHER
22925301VAMDIPA/OPTIMUM CHOICEMAMSIOTHER
0521R01NCBLUE CROSS/BLUE SHIELDOTHER
04272001VABLUE CROSS/BLUE SHIELDOTHER
19-0012301VAUNITEDHEALTH CAREOTHER
750078505VA MEDICAID


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