Sumter Urological, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SUMTER UROLOGICAL, LLC

Practice address

410 W Wesmark Blvd
Sumter, SC 29150-1983

Phone

(803) 469-4402

Fax

(803) 469-4473

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lee, M.D.

Title

Presedent

Phone

(803) 469-4402

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sumter Urological Associates, PA Former legal business name

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1164537635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-469-4402",
            "fax_number": "803-469-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-469-4402",
            "fax_number": "803-469-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER UROLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "803-469-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0276",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumter Urological Associates, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sumter School District Two
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• Sumter Surgical Associate
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• Sumter Urological Associates
• Sumter Valley Nursing and Rehab Center LLC
• Rozalind Janell Sumter
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• Vatsal Suthar, D.M.D.
• Corey Sweetenburg

• Urology Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.