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WEST SHORE UROLOGY ASSOC NPI 1861531170


NPI Information

NPI: 1861531170
Provider Name: WEST SHORE UROLOGY ASSOC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 10D0297608

Address:
13201 WALSINGHAM RD
LARGO, FL
ZIP 33774
Phone: (727) 596-9652
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WEST SHORE UROLOGY ASSOC is an urology in Largo, FL. 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. WEST SHORE UROLOGY ASSOC NPI is 1861531170. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13201 WALSINGHAM RD
LARGO, FL
ZIP 33774-518
Phone: (727) 596-9652
Fax: (727) 593-5128

The provider's authorized official is Jeffrey S. Lumbard .
The authorized official title is Physician/owner and has the following contact phone number (727) 596-9652.

The CLIA number assigned to this NPI record is 10D0297608 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 4/11/2014.


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
124767OTHERFLORIDABLUE CROSS BLUE SHIELD
2203305OTHERFLORIDAAMERIGROUP
3CB2137OTHERFLORIDARAILROAD MEDICARE
4371048300MEDICAIDFLORIDA

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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