NPIMap

Organization Active NPI

Utica Urologic Associates, P.C.

  • Urology Physician
  • Utica, NY
National Provider Identifier
1073690830
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UTICA UROLOGIC ASSOCIATES, P.C.
Practice address
3 Parkside CT
Utica, NY 13501-5643
Phone
(315) 797-6370
Fax
(315) 738-8906
NPI assigned
Nov 1, 2006
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. W. Anthony Mandour, MD
Title
President
Phone
(315) 797-6370

Specialties & licenses 1

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

Addresses

Primary practice location

3 Parkside CT
Utica, NY 13501-5643

Mailing address

3 Parkside CT
Utica, NY 13501-5643
Phone (315) 797-6370

National Provider Directory

National Provider Directory

Locations

3 Parkside Ct
Utica, NY 13501
Phone (315) 724-4286

Practitioners & affiliated clinicians

Practitioners 10

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1073690830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-797-6370",
            "fax_number": "315-738-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PARKSIDE CT",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015643",
            "telephone_number": "315-797-6370",
            "fax_number": "315-738-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTICA UROLOGIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "MANDOUR",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-797-6370",
        "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": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.