Organization Active NPI

Belis Urologic Inc

  • Specialist
  • Altoona, PA
National Provider Identifier
1215009121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MDO2657OE Issued in PA
Legal business name
BELIS UROLOGIC INC
Practice address
2500 5TH Street
Altoona, PA 16601-3812
Phone
(814) 946-1259
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy J Boyles
Title
Office Manager
Phone
(814) 946-1259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MDO2657OE PA Primary

Addresses

Primary practice location

2500 5TH Street
Altoona, PA 16601-3812

Mailing address

2500 5TH St
Altoona, PA 16601-3812
Phone (814) 946-1259

Other identifiers 1

IdentifierTypeStateIssuer
0009267120004MedicaidPA

National Provider Directory

National Provider Directory

Locations

2500 5th St
Altoona, PA 16601
Phone (814) 946-1258

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215009121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 5TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013812",
            "telephone_number": "814-946-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 5TH STREET",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013812",
            "telephone_number": "814-946-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELIS UROLOGIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-946-1259"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MDO2657OE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009267120004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.