Active NPI
Laurel Urology Inc
- Urology Physician
- Johnstown, PA
National Provider Identifier
1154438869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- LAUREL UROLOGY INC
- Practice address
- 1111 Franklin St
Suite 410
Johnstown, PA 15905 - Phone
- (814) 536-7851
- Fax
- (814) 539-3649
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shiban K Warikoo, MD
- Title
- President
- Phone
- (814) 536-7851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1111 Franklin St
Suite 410
Johnstown, PA 15905
Mailing address
1111 Franklin St
Suite 410
Johnstown, PA 15905
Phone (814) 536-7851
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 747979 | Other | HIGHMARK BCBS | |
| CM4006 | Other | PA | RAILROAD MEDICARE |
| 0006394830001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
223 S Pleasant Ave
Ste 101
Somerset, PA 15501
Phone (814) 443-6918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210291200000",
"number": "1154438869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 FRANKLIN ST",
"address_2": "SUITE 410",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-536-7851",
"fax_number": "814-539-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 FRANKLIN ST",
"address_2": "SUITE 410",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "15905",
"telephone_number": "814-536-7851",
"fax_number": "814-539-3649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL UROLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2008-05-09",
"status": "A",
"authorized_official_last_name": "WARIKOO",
"authorized_official_first_name": "SHIBAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-536-7851",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "747979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM4006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006394830001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.