The Urology Clinic, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

THE UROLOGY CLINIC, LLC

Doing business as

The Urology Clinic

Practice address

14231 Seaway Rd Ste 6000
Gulfport, MS 39503-4628

Phone

(228) 254-1103

Fax

(228) 206-2324

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Paige C White, MDNPI 1194825216

Title

MD/Sole Member

Phone

(228) 254-1103

Specialties & licenses 1

Addresses

Other names 1

• The Urology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Paige C White, MD

  • Urology Physician
  • Gulfport, MS
  • NPI 1194825216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1023678000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE 6000",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-254-1103",
            "fax_number": "228-206-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE 6000",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034628",
            "telephone_number": "228-254-1103",
            "fax_number": "228-206-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD/SOLE MEMBER",
        "authorized_official_telephone_number": "228-254-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Urology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.