JON L. PRYOR MD NPI 1124101886

NPI Information

NPI: 1124101886
Provider Name: JON L. PRYOR, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
9200 W WISCONSIN AVE
DEPARTMENT OF UROLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-0805
Get Directions

Jon L. Pryor, MD is an urology in Milwaukee, WI. 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. Jon L. Pryor, MD NPI is 1124101886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9200 W WISCONSIN AVE
DEPARTMENT OF UROLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-0805
Fax: (414) 805-0771

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/31/2013.

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		34340	MINNESOTA	No
2	208800000X	Urology		54002	WISCONSIN	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	2T448PR	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	E78223	MEDICARE UPIN
3	736011610	MEDICARE PIN	WISCONSIN
4	19-00606	OTHER	MINNESOTA	MEDICA CHOICE
5	101399	OTHER	MINNESOTA	UCARE
6	HP14204	OTHER	MINNESOTA	HEALTH PARTNERS
7	19-00018	OTHER	MINNESOTA	MEDICA PRIMARY
8	340000528	MEDICARE ID-TYPE UNSPECIFIED
9	603764	OTHER	MINNESOTA	ARAZ
10	148007300	MEDICAID	MINNESOTA
11	1124101886	MEDICAID	WISCONSIN
12	0988162	MEDICAID	IOWA
13	340007721	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD
14	0255504	OTHER	MINNESOTA	PREFERRED ONE

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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