Organization Active NPI

Washington Urology PLLC

  • Urology Physician
  • Richland, WA
National Provider Identifier
1003130873
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD00047050 Issued in WA
Legal business name
WASHINGTON UROLOGY PLLC
Practice address
948 Stevens Dr
Suite C
Richland, WA 99352-3547
Phone
(509) 946-8000
Fax
(509) 946-8002
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Diane L Mueggler
Title
Office Manager
Phone
(509) 378-9259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD00047050 WA Primary

Addresses

Primary practice location

948 Stevens Dr
Suite C
Richland, WA 99352-3547

Mailing address

948 Stevens Dr
Suite C
Richland, WA 99352-3547
Phone (509) 946-8000

Other identifiers 1

IdentifierTypeStateIssuer
8463952MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000170 WA Part B Supplier - Clinic/Group Practice 1759410707 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, WA; Kennewick, WA

National Provider Directory

National Provider Directory

Locations

3730 Plaza Way
Ste 6700
Kennewick, WA 99338
Phone (509) 946-8000

471 Williams Blvd
Richland, WA 99354
Phone (509) 943-2614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1003130873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 STEVENS DR",
            "address_2": "SUITE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523547",
            "telephone_number": "509-946-8000",
            "fax_number": "509-946-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 STEVENS DR",
            "address_2": "SUITE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523547",
            "telephone_number": "509-946-8000",
            "fax_number": "509-946-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "MUEGGLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-378-9259",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00047050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8463952",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.