UROLOGY ASSOCIATES OF SOUTH BEND PC NPI 1063438117

NPI Information

  • NPI: 1063438117
  • Provider Name: UROLOGY ASSOCIATES OF SOUTH BEND, PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 707 CEDAR ST
    SUITE #450
    SOUTH BEND, IN
    ZIP 46617
  • Phone: (574) 234-4100

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NPI Details

UROLOGY ASSOCIATES OF SOUTH BEND, PC is an urology in South Bend, IN. 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 OF SOUTH BEND, PC NPI is 1063438117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

707 CEDAR ST
SUITE #450
SOUTH BEND, IN
ZIP 46617-054
Phone: (574) 234-4100
Fax: (574) 282-1739

The provider's authorized official is Arthur Phililp Depauw .
The authorized official title is President and has the following contact phone number (574) 234-4100.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.

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
1208800000XUrologyYes

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
10323020001OTHERINDIANADMERC SUPPLIER NUMBER

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: 3/30/2025

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