Organization Active NPI

Gulf Coast Urology LLC

  • Urology Physician
  • Foley, AL
National Provider Identifier
1194928200
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
DO879 Issued in AL
Legal business name
GULF COAST UROLOGY LLC
Practice address
102 S Greentree Lane
Foley, AL 36535-4509
Phone
(251) 943-8761
Fax
(251) 947-8761
NPI assigned
Jun 6, 2007
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Michael G Waters, DO
Title
Physician/Owner
Phone
(251) 943-8761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X DO879 AL Primary

Addresses

Primary practice location

102 S Greentree Lane
Foley, AL 36535-4509

Mailing address

102 S Greentree Lane
Foley, AL 36535-4509
Phone (251) 943-8761

National Provider Directory

National Provider Directory

Locations

102 S Greentree Ln
Foley, AL 36535
Phone (251) 942-8761

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHIBDD

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1194928200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S GREENTREE LANE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354509",
            "telephone_number": "251-943-8761",
            "fax_number": "251-947-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S GREENTREE LANE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365354509",
            "telephone_number": "251-943-8761",
            "fax_number": "251-947-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "251-943-8761",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "DO879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.