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NORTH CENTRAL UROLOGY PA NPI 1174703623


NPI Information

NPI: 1174703623
Provider Name: NORTH CENTRAL UROLOGY PA

Former Legal Business Name: DENNIS L ORTIZ DO PA

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 45D0950633

Address:
4218 GATEWAY DRIVE
SUITE 100
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 283-1860
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NORTH CENTRAL UROLOGY PA is an urology in Colleyville, TX. 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. NORTH CENTRAL UROLOGY PA NPI is 1174703623. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dennis L Ortiz Do Pa.

The provider's business location address is:

4218 GATEWAY DRIVE
SUITE 100
COLLEYVILLE, TX
ZIP 76034
Phone: (817) 283-1860
Fax: (817) 283-2175

The provider's authorized official is J Novitski .
The authorized official title is Business Manager and has the following contact phone number (817) 283-1860.

The CLIA number assigned to this NPI record is 45D0950633 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/13/2007 and was last updated on 8/27/2012.


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
1208800000XUrologyH0705TEXASYes

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
1P00153491OTHERMEDICARE RR
2A67467MEDICARE UPIN
300955WMEDICARE PIN
400957WMEDICARE PIN
5170333201MEDICAIDTEXAS
600956WMEDICARE PIN
7170333202MEDICAIDTEXAS
8DC1932OTHERMEDICARE RR
9170333203MEDICAIDTEXAS

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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