Urology Associates of Southern Oregon, LLP

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP

Practice address

2900 Doctors Park Dr
Suite 100
Medford, OR 97504-8198

Phone

(541) 772-6600

Fax

(541) 779-1266

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Jean Fadling, MBA

Title

Office Manager

Phone

(541) 772-6600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104922749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046111",
            "telephone_number": "541-772-6600",
            "fax_number": "541-779-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-772-6600",
            "fax_number": "541-779-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF SOUTHERN OREGON, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FADLING",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-772-6600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "001930000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292844",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Arthur Unzueta
• Michael Urban, MD
• Seth Urban, MD
• Stephanie Urban, AGACNP-BC
• Richard S Urbanski, MD
• Megan Kathleen Urton
• Melissa Lynn Urwin
• US PT Therapy Services Inc
• US PT Therapy Services Inc.
• Anna L Uschold, PA

• Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.