Yavapai Urology, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

YAVAPAI UROLOGY, PLLC

Doing business as

Yavapai Urology, PLLC

Practice address

117 Rotonda Way
Prescott, AZ 86301-4493

Phone

(661) 208-1182

NPI assigned

Jul 6, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Symphony Wittenberg

Title

Practice Manager

Phone

(661) 208-1182

Specialties & licenses 1

Addresses

Other names 1

• Yavapai Urology, PLLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1124751227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD STE A101-138",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROTONDA WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014493",
            "telephone_number": "661-208-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAVAPAI UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "WITTENBERG",
        "authorized_official_first_name": "SYMPHONY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "661-208-1182"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "symphony@yavapaiurology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 Rotonda Way",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863014493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Yavapai Urology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yavapai Urology, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yavapai Regional Medical Center Physician Care LLC (Yavapai Regional Medical Center Physician Care)
• Yavapai Regional Medical Center Physician Care LLC (Yavapai Regional Medical Center Physician Care)
• Yavapai Regional Medical Center Physician Care LLC (Yavapai Regional Medical Center Physician Care)
• Yavapai Speech Technologies
• Yavapai Surgical PC
• Susan L Young-Markey, CTRS
• Andrew Thomas Young, RRT-NPS
• Catherine L Young, OT/L
• Connor Young
• Your Health Clinic, PLLC

• Urology Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.