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PROGRESSIVE UROLOGY PC NPI 1417137167


NPI Information

NPI: 1417137167
Provider Name: PROGRESSIVE UROLOGY, PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1505 STATE ST
LA PORTE, IN
ZIP 46350
Phone: (219) 324-3120
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PROGRESSIVE UROLOGY, PC is an urology in La Porte, 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. PROGRESSIVE UROLOGY, PC NPI is 1417137167. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 STATE ST
LA PORTE, IN
ZIP 46350-115
Phone: (219) 324-3120
Fax: (219) 362-3743

The provider's authorized official is Carey Bernard Ransone .
The authorized official title is President and has the following contact phone number (219) 324-3120.

The enumeration date for this NPI number is 11/10/2007 and was last updated on 11/10/2007.


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
1208800000XUrology01045023INDIANAYes

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
1200091080MEDICAIDINDIANA
2659670MEDICARE PININDIANA
3F92154MEDICARE UPININDIANA

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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