Urology Medical Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY MEDICAL INC.

Practice address

4601 W US Highway 90
Lake City, FL 32055-4880

Phone

(386) 752-4189

Fax

(386) 752-4213

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert George Busch, D.O.

Title

President

Phone

(386) 752-4189

Specialties & licenses 1

Addresses

Other names 1

• Busch Urology Doing business as

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013969609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554880",
            "telephone_number": "386-752-4189",
            "fax_number": "386-752-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554880",
            "telephone_number": "386-752-4189",
            "fax_number": "386-752-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-752-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Busch Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Unterborn, RN
• Upperline Healthcare, PC
• Upperline Healthcare, PC
• Nancey Whitehill (Lynne) Upshaw, L.M.T.
• Urolife Clinic LLC
• Richard German Valenzuela, M.D.
• Valli Jeanenne Van Meter, PHARMD
• Patricia Vance
• Heather Ann Thornton Vann, M.ED./ED.S.
• Jarinel Vargas

• Urology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.