North Central Urology PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

H0705 Issued in TX

Legal business name

NORTH CENTRAL UROLOGY PA

Practice address

4218 Gateway Drive
Suite 100
Colleyville, TX 76034

Phone

(817) 283-1860

Fax

(817) 283-2175

NPI assigned

Nov 13, 2007

Last updated

Aug 27, 2012By 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

J Novitski, B.S.B.A.

Title

Business Manager

Phone

(817) 283-1860

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dennis L Ortiz DO PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: dennisortiz@norcenuro.medalliesdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis L Ortiz, DO

  • Urology Physician
  • Colleyville, TX
  • NPI 1740232149
  Medicare reassignment NPD
• Blake Allen Neeley, PA-C

  • Physician Assistant
  • Colleyville, TX
  • NPI 1346780798
  NPD
• Whitney G Juhas, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1356767487
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1174703623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 GATEWAY DRIVE",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-283-1860",
            "fax_number": "817-283-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 GATEWAY DRIVE",
            "address_2": "SUITE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "76034",
            "telephone_number": "817-283-1860",
            "fax_number": "817-283-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "NOVITSKI",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "817-283-1860",
        "authorized_official_credential": "B.S.B.A."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "H0705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DC1932",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00153491",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170333201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis L Ortiz DO PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Kern Nolen, LPC
• Sahar Nooraninia, PHARMD
• Sonia Noorany, LPC-A
• Mary Kathleen Norris, MA, LPC
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• North Hills Bariatric, PA
• North Texas Acupunture and Allergy Center (Dunn Acupuncture and Allergy Center)
• North Texas Counseling Associates
• North Texas Counseling Associates
• North Texas Psychological Services PLLC

• Urology Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.