NPIMap

Organization Active NPI

App Urology Clinic

  • Urology Physician
  • Grants Pass, OR
National Provider Identifier
1124472246
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
APP UROLOGY CLINIC
Practice address
537 Union Ave
Second Floor 2B
Grants Pass, OR 97527-5543
Phone
(541) 507-2020
Fax
(541) 507-2021
NPI assigned
Apr 14, 2016
Organization subpart
Yes
Parent organization
ASANTE PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Patrick Hocking
Title
Cafo
Phone
(541) 789-4916

Specialties & licenses 1

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

Addresses

Primary practice location

537 Union Ave
Second Floor 2B
Grants Pass, OR 97527-5543

Mailing address

PO Box 748157
Los Angeles, CA 90074-8157
Phone (541) 789-5250

National Provider Directory

National Provider Directory
Tax ID family
Asante Physcian Partners10 organizations share this tax ID, including this one
Part of
Asante Physcian Partners

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1124472246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748157",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748157",
            "telephone_number": "541-789-5250",
            "fax_number": "541-789-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 UNION AVE",
            "address_2": "SECOND FLOOR 2B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275543",
            "telephone_number": "541-507-2020",
            "fax_number": "541-507-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APP UROLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASANTE PHYSICIAN PARTNERS",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "HOCKING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CAFO",
        "authorized_official_telephone_number": "541-789-4916"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.