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FAIRHOPE UROLOGY PC NPI 1811257926


NPI Information

NPI: 1811257926
Provider Name: FAIRHOPE UROLOGY, PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 01D2045980

Address:
8720 FAIRHOPE AVE
FAIRHOPE, AL
ZIP 36532
Phone: (251) 990-2241
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FAIRHOPE UROLOGY, PC is an urology in Fairhope, AL. 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. FAIRHOPE UROLOGY, PC NPI is 1811257926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8720 FAIRHOPE AVE
FAIRHOPE, AL
ZIP 36532-608
Phone: (251) 990-2241
Fax: (251) 990-2242

The provider's authorized official is Christopher D Petrus .
The authorized official title is Ceo and has the following contact phone number (251) 990-2241.

The CLIA number assigned to this NPI record is 01D2045980 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2012 and was last updated on 4/18/2017.


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
1208800000XUrology29300ALABAMAYes

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: 11/14/2023

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