Cilinical Urology Associates, P.C.
Organization Active NPI Urology Physician · Oneonta, AL
NPI 1174300933 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1174300933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- CILINICAL UROLOGY ASSOCIATES, P.C.
- Practice address
- 150 Gilbreath Dr
Oneonta, AL 35121-2827 - Phone
- (256) 492-4040
- Fax
- (256) 492-4017
- NPI assigned
- Sep 13, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- CILINICAL UROLOGY ASSOCIATES, P.C.
Authorized official
- Name
- Kourtney Mayo
- Title
- Credentialing/Admin Assist
- Phone
- (256) 492-4040
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040820000950 | AL | Part B Supplier - Clinic/Group Practice | 0749254241 |
Receives reassigned benefits from 16 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pell City, AL; Oneonta, AL; Jacksonville, AL; Fort Payne, AL; Gadsden, AL; Albertville, AL |
National Provider Directory
- Tax ID family
- Clinical Urology Assocs
- Part of
- Clinical Urology Assocs
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
150 Gilbreath Dr
Oneonta, AL 35121-2827
Mailing address
713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040
Other providers in Oneonta, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.