1578870390 NPI number — MRS. ELAINE MARIELLA UCHUYA DOCTOR OF OSTEOPATHY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578870390 NPI number — MRS. ELAINE MARIELLA UCHUYA DOCTOR OF OSTEOPATHY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UCHUYA
Provider First Name:
ELAINE
Provider Middle Name:
MARIELLA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DOCTOR OF OSTEOPATHY
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578870390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14045 WILLOW SHADE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CULPEPER
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22701-1711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-439-4435
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIVERSITY OF VIRGINIA HEALTH 1215 LEE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22908-2759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-924-5567
Provider Business Practice Location Address Fax Number:
434-243-6771
Provider Enumeration Date:
09/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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