Affiliated Urologists, LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

22477 Issued in AZ

Legal business name

AFFILIATED UROLOGISTS, LTD

Practice address

500 W Thomas Rd
Ste 600
Phoenix, AZ 85013-4221

Phone

(602) 264-0608

Fax

(602) 234-0417

NPI assigned

Jun 21, 2005

Last updated

Aug 22, 2020By 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

Stephen Henry Ponas, M.D.NPI 1205832706

Title

President/Ceo

Phone

(602) 264-0608

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Stephen Henry Ponas, M.D.

  • Urology Physician
  • Phoenix, AZ
  • NPI 1205832706
  Authorized official Same address or phone

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194721530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134221",
            "telephone_number": "602-264-0608",
            "fax_number": "602-234-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134221",
            "telephone_number": "602-264-0608",
            "fax_number": "602-234-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED UROLOGISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONAS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-264-0608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "22477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507048",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.