NPIMap

Organization Active NPI

Allied Urology Associates, Inc.

  • Urology Physician
  • Erie, PA
National Provider Identifier
1205977170
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ALLIED UROLOGY ASSOCIATES, INC.
Practice address
311 W 24TH St
Suite 101
Erie, PA 16502-2665
Phone
(814) 452-4214
Fax
(814) 459-7823
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mr. Mark F Mizikowski, MBA
Title
Practice Administrator
Phone
(814) 452-4214

Specialties & licenses 1

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

Addresses

Primary practice location

311 W 24TH St
Suite 101
Erie, PA 16502-2665

Mailing address

311 W 24TH St
Suite 101
Erie, PA 16502-2665
Phone (814) 452-4214

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1205977170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-452-4214",
            "fax_number": "814-461-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-452-4214",
            "fax_number": "814-459-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED UROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "MIZIKOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "814-452-4214",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.