Organization Active NPI

Sulphur Urology LLC

  • Urology Physician
  • Sulphur, LA
National Provider Identifier
1013356245
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD07139R Issued in LA
Legal business name
SULPHUR UROLOGY LLC
Practice address
1327 Stelly LN
Suite 2
Sulphur, LA 70663-5641
Phone
(337) 528-7898
NPI assigned
Jun 20, 2013
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Thomas Alderson, MDNPI 1477544815
Title
Owner/President
Phone
(337) 528-7898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD07139R LA Primary

Addresses

Primary practice location

1327 Stelly LN
Suite 2
Sulphur, LA 70663-5641

Mailing address

1327 Stelly LN
Suite 2
Sulphur, LA 70663-5641
Phone (337) 528-7898

Other identifiers 1

IdentifierTypeStateIssuer
1361674MedicaidLA

National Provider Directory

National Provider Directory

Locations

1327 Stelly Ln
Ste 2
Sulphur, LA 70663
Phone (337) 528-7898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1013356245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN",
            "address_2": "SUITE 2",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635641",
            "telephone_number": "337-528-7898",
            "fax_number": "337-528-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN",
            "address_2": "SUITE 2",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635641",
            "telephone_number": "337-528-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULPHUR UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "ALDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "337-528-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "MD07139R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361674",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.