Valley Urologic Associates, SC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

VALLEY UROLOGIC ASSOCIATES, SC

Practice address

116 N Main St
Riverside Clinic
Shawano, WI 54166-2356

Phone

(920) 739-3537

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Vlach Jr., MD

Title

President

Phone

(920) 739-3537

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Valley Urologic Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Urologic Associates, S.C.

  • Urology Physician
  • Waupaca, WI
  • NPI 1689791899
  NPD tax ID
• Valley Urologic Associates, SC

  • Urology Physician
  • Shawano, WI
  • NPI 1699892240
  NPD tax ID

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275650269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E GRANT ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113483",
            "telephone_number": "920-739-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST",
            "address_2": "RIVERSIDE CLINIC",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662356",
            "telephone_number": "920-739-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UROLOGIC ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VLACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-739-3537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32748300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "989963",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tower Clock Eye Center SC
• Corrina Jolinda Tuma, PTA
• Under the Rainbow LLC
• Nicholas Uttecht
• Madelyn Elaine Valentine, RDN
• Valley Urologic Associates, SC
• Tracy Van Ert
• Erin M Van Oss, PHD, NCSP
• Katie Van Scyoc, P.T.
• Alexis Vandehey

• Urology Physician in Shawano, WI
• Providers in Shawano, WI by specialty
• Urology Physician in Wisconsin

• 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.