Organization Active NPI

Valley Urological Associates Inc.

  • Urology Physician
  • Sewickley, PA
National Provider Identifier
1164537015
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VALLEY UROLOGICAL ASSOCIATES INC.
Practice address
701 Broad St
Suite B 4TH FL
Sewickley, PA 15143-1652
Phone
(412) 741-8025
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Robert W. Doebler, MD
Title
President
Phone
(412) 741-8025

Specialties & licenses 1

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

Addresses

Primary practice location

701 Broad St
Suite B 4TH FL
Sewickley, PA 15143-1652

Mailing address

701 Broad St
Suite B 4TH FL
Sewickley, PA 15143-1652
Phone (412) 741-8025

Other identifiers 1

IdentifierTypeStateIssuer
001048036MedicaidPA

National Provider Directory

National Provider Directory

Locations

701 Broad St
Ste 412
Sewickley, PA 15143
Phone (412) 741-1726

701 Broad St
Ste B
Sewickley, PA 15143
Phone (412) 741-0985

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1164537015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "address_2": "SUITE B 4TH FL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-741-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "address_2": "SUITE B 4TH FL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431652",
            "telephone_number": "412-741-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UROLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "DOEBLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-741-8025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001048036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.