Organization Active NPI

Marin Urology Medical Group, Inc

  • Urology Physician
  • Greenbrae, CA
National Provider Identifier
1235169541
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MARIN UROLOGY MEDICAL GROUP, INC
Practice address
1000 S Eliseo Dr
Suite #201
Greenbrae, CA 94904-2133
Phone
(415) 461-4000
Fax
(415) 461-6907
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Harry Neuwirth, M.D.
Title
President
Phone
(415) 461-4000

Specialties & licenses 1

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

Addresses

Primary practice location

1000 S Eliseo Dr
Suite #201
Greenbrae, CA 94904-2133

Mailing address

1000 S Eliseo Dr
Suite #201
Greenbrae, CA 94904-2133
Phone (415) 461-4000

National Provider Directory

National Provider Directory

Locations

165 Rowland Way
Ste 165
Novato, CA 94945
Phone (415) 461-4000

Practitioners & affiliated clinicians

Practitioners 1

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": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1235169541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR",
            "address_2": "SUITE #201",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042133",
            "telephone_number": "415-461-4000",
            "fax_number": "415-461-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR",
            "address_2": "SUITE #201",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042133",
            "telephone_number": "415-461-4000",
            "fax_number": "415-461-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIN UROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "NEUWIRTH",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-461-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.