Active NPI
Southern Urology LLC
- Urology Physician
- Abbeville, LA
National Provider Identifier
1235846841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SOUTHERN UROLOGY LLC
- Practice address
- 118 N Hospital Dr
Abbeville, LA 70510-4039 - Phone
- (337) 893-5466
- NPI assigned
- Nov 2, 2022
- Organization subpart
- Yes
- Parent organization
- SOUTHERN UROLOGY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Robert Eldredge
- Title
- Ao
- Phone
- (337) 769-7779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
118 N Hospital Dr
Abbeville, LA 70510-4039
Mailing address
118 N Hospital Dr
Abbeville, LA 70510-4039
National Provider Directory
National Provider Directory- Tax ID family
- Southern Urology LLC
- Part of
- Southern Urology LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- New Iberia, LA
- NPI 1104534965
-
- Urology Physician
- Opelousas, LA
- NPI 1386352151
-
- Urology Physician
- Crowley, LA
- NPI 1407564263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1235846841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N HOSPITAL DR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N HOSPITAL DR",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104039",
"telephone_number": "337-893-5466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN UROLOGY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHERN UROLOGY LLC",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "ELDREDGE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "337-769-7779"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abbeville, LA
- Erika Simon, RN
- Roslyn Ann Simon, SLP
- Solutions Physical Therapy, LLC
- Southcare Medical LLC
- Southern Comfort Community Homes, LLC (Abbeville Group Home)
- Southside Family Clinic LLC
- Southwest Laboratory Services Inc
- Star Elite Enterprises LLC
- Sterling Emergency Medical Services, a Professional Corporation
- Mallory Elyse Leboeuf Stiles, PT,DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.