NPIMap

Organization Active NPI

Childrens Urology Group PL

  • Pediatric Urology Physician
  • Tampa, FL
National Provider Identifier
1194836239
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
Legal business name
CHILDRENS UROLOGY GROUP PL
Practice address
4712 N Armenia Ave
Suite 200
Tampa, FL 33603-2611
Phone
(813) 874-7500
Fax
(813) 877-1397
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Ms. Theresa Kollner
Title
Credentialing Coordinator
Phone
(813) 874-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088P0231X Primary

Addresses

Primary practice location

4712 N Armenia Ave
Suite 200
Tampa, FL 33603-2611

Mailing address

4712 N Armenia Ave
Suite 200
Tampa, FL 33603-2611
Phone (813) 874-7500

National Provider Directory

National Provider Directory

Locations

3850 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 784-6779

10817 Bloomingdale Ave
Riverview, FL 33578
Phone (813) 324-1342

601 5th St S
Ste 602
Saint Petersburg, FL 33701

601 5th St S
#602
Saint Petersburg, FL 33701

880 6th St S
Ste 410
St Petersburg, FL 33701
Phone (727) 456-1055

2727 W Mlk Blvd
Ste 200
Tampa, FL 33607
Phone (813) 694-5824

4712 N Armenia Ave
Ste 200
Tampa, FL 33603
Phone (813) 874-7500

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1194836239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-874-7500",
            "fax_number": "813-877-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 N ARMENIA AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032611",
            "telephone_number": "813-874-7500",
            "fax_number": "813-877-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS UROLOGY GROUP PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "KOLLNER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "813-874-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.