Active NPI
Trumbull Urology Group Inc
- Urology Physician
- Warren, OH
National Provider Identifier
1194907964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 047746
- 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
- Last updated
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Urology Physician
- Warren, OH
- NPI 1346216702
-
- Foot & Ankle Surgery Podiatrist
- Warren, OH
- NPI 1821058579
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.