PREMIER UROLOGY CORP NPI 1598925638

NPI Information

  • NPI: 1598925638
  • Provider Name: PREMIER UROLOGY CORP
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 36D1086255
  • Address: 430 ALTAIR PKWY STE 200
    WESTERVILLE, OH
    ZIP 43082
  • Phone: (614) 818-0215

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NPI Details

PREMIER UROLOGY CORP is an urology in Westerville, OH. 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. PREMIER UROLOGY CORP NPI is 1598925638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

430 ALTAIR PKWY STE 200
WESTERVILLE, OH
ZIP 43082-647
Phone: (614) 818-0215
Fax: (614) 818-0217

The provider's authorized official is David H Brown .
The authorized official title is President and has the following contact phone number (614) 818-0215.

The CLIA number assigned to this NPI record is 36D1086255 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/12/2008 and was last updated on 5/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology35-075512OHIOYes

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
12334094MEDICAIDOHIO
27674368OTHEROHIOAETNA

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: 11/21/2025

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