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NEO UROLOGY ASSOCIATES INC NPI 1598798878


NPI Information

NPI: 1598798878
Provider Name: NEO UROLOGY ASSOCIATES INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 36D1089147

Address:
7430 SOUTHERN BLVD
BOARDMAN, OH
ZIP 44512
Phone: (330) 729-9214
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NEO UROLOGY ASSOCIATES INC is an urology in Boardman, OH. 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. NEO UROLOGY ASSOCIATES INC NPI is 1598798878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7430 SOUTHERN BLVD
BOARDMAN, OH
ZIP 44512-629
Phone: (330) 729-9214
Fax: (330) 729-9217

The provider's authorized official is Vincent S Ricchiuti .
The authorized official title is President and has the following contact phone number (330) 729-9214.

The CLIA number assigned to this NPI record is 36D1089147 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/28/2012.


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
1208800000XUrologyOHIOYes

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
10716005MEDICAIDOHIO
29926721MEDICARE ID-TYPE UNSPECIFIEDOHIOGROUP PROVIDER NUMBER
3CM8439MEDICARE PINOHIO

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: 5/5/2024

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