UROLOGY ASSOCIATES MEDICAL GROUP PC NPI 1902982051

NPI Information

NPI: 1902982051
Provider Name: UROLOGY ASSOCIATES MEDICAL GROUP, PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 43D0892078

Address:
555 EAST BROADWAY
SUITE 207
JACKSON, WY
ZIP 83001
Phone: (307) 733-7460
Get Directions

UROLOGY ASSOCIATES MEDICAL GROUP, PC is an urology in Jackson, WY. 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. UROLOGY ASSOCIATES MEDICAL GROUP, PC NPI is 1902982051. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

555 EAST BROADWAY
SUITE 207
JACKSON, WY
ZIP 83001-998
Phone: (307) 733-7460
Fax: (307) 733-7482

The provider's authorized official is Phillip Lowe .
The authorized official title is President and has the following contact phone number (307) 733-7460.

The CLIA number assigned to this NPI record is 43D0892078 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/26/2015.

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	2088P0231X	Urology	Pediatric Urology	6215A	WYOMING	No
2	208800000X	Urology		6215A	WYOMING	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
1	A43282	MEDICARE UPIN	WYOMING
2	W9787	MEDICARE PIN	WYOMING
3	806233600	MEDICAID	IDAHO
4	118827500	MEDICAID	WYOMING
5	114954700	MEDICAID	WYOMING
6	806684400	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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