Active NPI
Urology Center, PC
- Urology Physician
- Clarinda, IA
National Provider Identifier
1043386352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY CENTER, PC
- Practice address
- 220 Essie Davison Dr
Clarinda, IA 51632-2915 - Phone
- (712) 542-8216
- NPI assigned
- Nov 28, 2006
- 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
- Laura Forehead
- Title
- Administrator
- Phone
- (402) 397-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
220 Essie Davison Dr
Clarinda, IA 51632-2915
Mailing address
111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368144000000",
"number": "1043386352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143907",
"telephone_number": "402-397-9800",
"fax_number": "402-397-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ESSIE DAVISON DR",
"city": "CLARINDA",
"state": "IA",
"postal_code": "516322915",
"telephone_number": "712-542-8216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2013-05-10",
"status": "A",
"authorized_official_last_name": "FOREHEAD",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-397-9800"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarinda, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.