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ANDERSON UROLOGIC ASSOCIATES P.C. NPI 1194791509


NPI Information

NPI: 1194791509
Provider Name: ANDERSON UROLOGIC ASSOCIATES, P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
141 W 22ND ST
SUITE 213
ANDERSON, IN
ZIP 46016
Phone: (765) 643-0766
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ANDERSON UROLOGIC ASSOCIATES, P.C. is an urology in Anderson, 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. ANDERSON UROLOGIC ASSOCIATES, P.C. NPI is 1194791509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

141 W 22ND ST
SUITE 213
ANDERSON, IN
ZIP 46016-304
Phone: (765) 643-0766
Fax: (765) 640-2353

The provider's authorized official is Randall Charles Blake .
The authorized official title is President and has the following contact phone number (765) 643-0766.

The enumeration date for this NPI number is 2/24/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology50002645AINDIANAYes

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
150002645AOTHERINDIANALICENSE

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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