Organization Active NPI

Trumbull Urology Group Inc

  • Urology Physician
  • Warren, OH
National Provider Identifier
1194907964
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
047746 Issued in OH
Legal business name
TRUMBULL UROLOGY GROUP INC
Practice address
1507 East Market St
Warren, OH 44483
Phone
(330) 395-7000
Fax
(330) 395-6000
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Namkyu Ko, MD
Title
Physician
Phone
(330) 395-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 047746 OH Primary

Addresses

Primary practice location

1507 East Market St
Warren, OH 44483

Mailing address

1507 East Market St
Warren, OH 44483
Phone (330) 395-7000

National Provider Directory

National Provider Directory

Locations

1507 E Market St
Warren, OH 44483
Phone (330) 369-1511

Practitioners & affiliated clinicians

Practitioners 1

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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1194907964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 EAST MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44483",
            "telephone_number": "330-395-7000",
            "fax_number": "330-395-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 EAST MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44483",
            "telephone_number": "330-395-7000",
            "fax_number": "330-395-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBULL UROLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "NAMKYU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-395-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "047746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.