Suburban Urology Network PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SUBURBAN UROLOGY NETWORK PLLC

Practice address

557 E Broadway
Jackson, WY 83001

Phone

(307) 734-1525

Fax

(307) 733-8276

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Lisa J Finkelstein, DO

Title

Physician Owner

Phone

(307) 734-1525

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Lowe, MD

  • Urology Physician
  • Jackson, WY
  • NPI 1356406599
  NPD (past)
• David J Tomlinson, M.D.

  • Anesthesiology Physician
  • Jackson, WY
  • NPI 1851350292
  NPD (past)
• Gary Blake Johnson, MD

  • Urology Physician
  • Salt Lake City, UT
  • NPI 1144223827
  NPD (past)
• Justin Paul Parkinson, MD

  • Urology Physician
  • Bountiful, UT
  • NPI 1851314066
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1306037296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13099",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830023099",
            "telephone_number": "307-734-1525",
            "fax_number": "307-733-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E BROADWAY",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-734-1525",
            "fax_number": "307-733-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN UROLOGY NETWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "FINKELSTEIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "307-734-1525",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Stocking, PHARMD
• Holbrook Stoecklein
• Stone Drug
• Alexandra Grace Stone, OTR/L
• Julia C Stoner, PT
• Stuart Ronald Sugarman, MD
• Richard Greer Sugden, MD
• Jenelle M Sullivan, PT
• John A. Sullivan, M.D.
• Derrik Sulzer, DC, MS

• Urology Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Urology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.