ADVANCED UROLOGIC ASSOCIATES INC NPI 1801389267

NPI Information

  • NPI: 1801389267
  • Provider Name: ADVANCED UROLOGIC ASSOCIATES, INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 26D0442571
  • Address: 19001 E 48TH ST S
    INDEPENDENCE, MO
    ZIP 64055
  • Phone: (816) 502-8782

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NPI Details

ADVANCED UROLOGIC ASSOCIATES, INC is an urology in Independence, 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. ADVANCED UROLOGIC ASSOCIATES, INC NPI is 1801389267. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19001 E 48TH ST S
INDEPENDENCE, MO
ZIP 64055-964
Phone: (816) 502-8782

The provider's authorized official is Karen Rawert .
The authorized official title is Manager, Payor Enrollment and has the following contact phone number (816) 502-8782.

The CLIA number assigned to this NPI record is 26D0442571 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2018 and was last updated on 1/23/2025.

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
1208800000XUrologyYes
2363L00000XNurse PractitionerNo

What is NPI?

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This page was last updated on: 11/21/2025

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