CAPE GIRARDEAU UROLOGY ASSOCIATES INC. NPI 1194734582

NPI Information

NPI: 1194734582
Provider Name: CAPE GIRARDEAU UROLOGY ASSOCIATES, INC.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 26D2081377

Address:
3 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-7748
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CAPE GIRARDEAU UROLOGY ASSOCIATES, INC. is an urology in Cape Girardeau, MO. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CAPE GIRARDEAU UROLOGY ASSOCIATES, INC. NPI is 1194734582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-927
Phone: (573) 334-7748
Fax: (573) 334-5724

The provider's authorized official is Lisa Nussbaum .
The authorized official title is Office Manager and has the following contact phone number (573) 334-7748.

The CLIA number assigned to this NPI record is 26D2081377 - other - emergency response agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 2/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500616602	MEDICAID	MISSOURI
2	0296520001	MEDICARE NSC	MISSOURI
3	CP7010	OTHER		RAILROAD MEDICARE
4	000010557	MEDICARE ID-TYPE UNSPECIFIED
5	107662	OTHER		HEALTHLINK
6	628	OTHER		BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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