Organization Active NPI

Stuart L Wanuck M D P a

  • Urology Physician
  • West Palm Beach, FL
National Provider Identifier
1043532799
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
STUART L WANUCK M D P A
Practice address
1920 Palm Beach Lakes Blvd
Suite 115
West Palm Beach, FL 33409-3512
Phone
(561) 686-1707
Fax
(561) 686-1709
NPI assigned
Feb 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Stuart L Wanuck, MD
Title
President
Phone
(561) 686-1707

Specialties & licenses 1

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

Addresses

Primary practice location

1920 Palm Beach Lakes Blvd
Suite 115
West Palm Beach, FL 33409-3512

Mailing address

1920 Palm Beach Lakes Blvd
Suite 115
West Palm Beach, FL 33409-3512
Phone (561) 686-1707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1043532799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093512",
            "telephone_number": "561-686-1707",
            "fax_number": "561-686-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 115",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093512",
            "telephone_number": "561-686-1707",
            "fax_number": "561-686-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L WANUCK M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "WANUCK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-686-1707",
        "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": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.