NPIMap

Organization Active NPI

Marshall Urology & Continence Center, PC

  • Urology Physician
  • Boaz, AL
National Provider Identifier
1013022466
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
16266 Issued in AL
Legal business name
MARSHALL UROLOGY & CONTINENCE CENTER, PC
Practice address
605B Medical Center Pkwy
Boaz, AL 35957-5937
Phone
(256) 593-2240
Fax
(256) 593-2219
NPI assigned
Aug 19, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Gregory Edward Carter, M.D.
Title
President
Phone
(256) 593-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 16266 AL Primary

Addresses

Primary practice location

605B Medical Center Pkwy
Boaz, AL 35957-5937

Mailing address

605B Medical Center Pkwy
Boaz, AL 35957-5937
Phone (256) 593-2240

National Provider Directory

National Provider Directory

Locations

605 Medical Center Pkwy
#B
Boaz, AL 35957
Phone (256) 593-2240

605B Medical Center Pkwy
Boaz, AL 35957
Phone (256) 593-2240

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1013022466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605B MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575937",
            "telephone_number": "256-593-2240",
            "fax_number": "256-593-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605B MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575937",
            "telephone_number": "256-593-2240",
            "fax_number": "256-593-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL UROLOGY & CONTINENCE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-593-2240",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "16266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.