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UROLOGY CARE INC. NPI 1780723205


NPI Information

NPI: 1780723205
Provider Name: UROLOGY CARE, INC.
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 26D0446151

Address:
3207 W TRUMAN BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 636-5115
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UROLOGY CARE, INC. is an urology in Jefferson City, MO. 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. UROLOGY CARE, INC. NPI is 1780723205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3207 W TRUMAN BLVD
JEFFERSON CITY, MO
ZIP 65109-892
Phone: (573) 636-5115
Fax: (573) 636-2818

The provider's authorized official is Michael S. Severance .
The authorized official title is President and has the following contact phone number (573) 636-5115.

The CLIA number assigned to this NPI record is 26D0446151 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/15/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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
100731XMEDICARE PINTEXAS

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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