Active NPI
Washington Urology PLLC
- Urology Physician
- Richland, WA
National Provider Identifier
1003130873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD00047050
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8463952 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Richland, WA
- NPI 1528090032
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.