EFFINGHAM UROLOGY ASSOCIATESS.C. NPI 1902911431

NPI Information

  • NPI: 1902911431
  • Provider Name: EFFINGHAM UROLOGY ASSOCIATES,S.C.
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 14D0712106
  • Address: 414 W VIRGINIA AVE
    EFFINGHAM, IL
    ZIP 62401
  • Phone: (217) 342-9738

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NPI Details

EFFINGHAM UROLOGY ASSOCIATES,S.C. is a health service clinic center in Effingham, IL. EFFINGHAM UROLOGY ASSOCIATES,S.C. NPI is 1902911431. The provider is registered as an organization entity type.

The provider's business location address is:

414 W VIRGINIA AVE
EFFINGHAM, IL
ZIP 62401-258
Phone: (217) 342-9738
Fax: (217) 342-9806

The provider's authorized official is Pernankel D L Nayak .
The authorized official title is Owner and has the following contact phone number (217) 342-9738.

The CLIA number assigned to this NPI record is 14D0712106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/19/2008.

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
1261QH0100XClinic/CenterHealth Service042003881ILLINOISYes

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
1592530MEDICARE PINILLINOIS
2CC9824OTHERILLINOISRAILROAD MEDICARE
30002500053OTHERILLINOISBCBS

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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