Atlantic Urological Associates P a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ATLANTIC UROLOGICAL ASSOCIATES P A

Practice address

1061 Medical Center Dr
Suite 300
Orange City, FL 32763-8200

Phone

(386) 774-2121

NPI assigned

May 1, 2007

Organization subpart

No

Name

Jerri Creggar

Title

Chief Operating Officer

Phone

(386) 239-8500

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2008.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1285855890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 HEALTH BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141493",
            "telephone_number": "386-239-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638200",
            "telephone_number": "386-774-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC UROLOGICAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CREGGAR",
        "authorized_official_first_name": "JERRI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "386-239-8500"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Orange City, FL
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.