Urology Clinic, SC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

36770-20 Issued in WI

Legal business name

UROLOGY CLINIC, SC

Practice address

500 Vincent St
Suite D
Stevens Point, WI 54481-1848

Phone

(715) 295-9939

Fax

(715) 295-9946

NPI assigned

Nov 28, 2007

Last updated

Apr 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John R. Fuller, M.D.NPI 1801817267

Title

Owner

Phone

(715) 295-9939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Fuller, MD

  • Urology Physician
  • Stevens Point, WI
  • NPI 1801817267
  Authorized official Same address or phone

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1235311556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8031",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549128031",
            "telephone_number": "920-996-1345",
            "fax_number": "920-739-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "address_2": "SUITE D",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811848",
            "telephone_number": "715-295-9939",
            "fax_number": "715-295-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-295-9939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "36770-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent James Udulutch, R.PH.
• University of Wisconsin System Non Payroll (University of WI - Speech, Language, and Hearing Clinic)
• University of Wisconsin System Non Payroll (UWSP Student Health Service)
• University of Wisconsin System Non Payroll (UW-Stevens Point Health Service Pharmacy)
• University of Wisconsin System Non Payroll (UW-Stevens Point Sports Medicine)
• Michele Marie Utecht, ATC
• Brittany Vach, OTR/L
• Sarah Elizabeth Van de Mark, MS, LPC
• Aimee Van Dinter, CCC-SLP
• Karissa Vance, COTA

• Urology Physician in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Urology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.