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JAMES R ANGEL MD PLLC NPI 1073686143


NPI Information

NPI: 1073686143
Provider Name: JAMES R ANGEL MD PLLC

Doing Business As: JAMES R ANGEL MD

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1698 OLD LEBANON RD
SUITE 3B
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-2471
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JAMES R ANGEL MD PLLC is an urology in Campbellsville, KY. 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. JAMES R ANGEL MD PLLC NPI is 1073686143. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As James R Angel Md.

The provider's business location address is:

1698 OLD LEBANON RD
SUITE 3B
CAMPBELLSVILLE, KY
ZIP 42718-662
Phone: (270) 789-2471
Fax: (270) 465-4669

The provider's authorized official is James Raymond Angel .
The authorized official title is Owner and has the following contact phone number (270) 789-2471.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology20672KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12440585000OTHERPASSPORT ADVANTAGE
20989817MEDICARE PINKENTUCKY
31170188OTHERPASSPORT
4C74131MEDICARE UPIN
500000062594OTHERBS
664206725MEDICAIDKENTUCKY

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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