Bay Area Urology Associates

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D5240 Issued in TX

Legal business name

BAY AREA UROLOGY ASSOCIATES

Practice address

8 Professional Park Dr
Webster, TX 77598-4127

Phone

(281) 332-9502

Fax

(281) 332-6123

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry R Wagner Jr., M.D.NPI 1679683346

Title

Owner

Phone

(281) 332-9502

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry R Wagner Jr., MD

  • Urology Physician
  • Webster, TX
  • NPI 1679683346
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1205955416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58156",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772588156",
            "telephone_number": "281-332-9502",
            "fax_number": "281-332-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "281-332-9502",
            "fax_number": "281-332-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-332-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "D5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093918301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ashela Bean, DO

• Urology Physician in Webster, TX
• Providers in Webster, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.