Active NPI
Urology Group of Paducah, P.S.C.
- Urology Physician
- Paducah, KY
National Provider Identifier
1306935341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY GROUP OF PADUCAH, P.S.C.
- Practice address
- 2603 Kentucky Ave
Suite 102
Paducah, KY 42003-3818 - Phone
- (270) 442-3539
- Fax
- (270) 442-2051
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald L Spicer, M.D.
- Title
- President
- Phone
- (270) 442-3539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
2603 Kentucky Ave
Suite 102
Paducah, KY 42003-3818
Mailing address
2603 Kentucky Ave
Suite 102
Paducah, KY 42003-3814
Phone (270) 442-3539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0152170001 | Other | KY | MEDICARE DMERC |
National Provider Directory
National Provider DirectoryLocations
28 Chick St
Ofc
Metropolis, IL 62960
Phone (618) 524-4402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1306935341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2603 KENTUCKY AVE",
"address_2": "SUITE 102",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033814",
"telephone_number": "270-442-3539",
"fax_number": "270-442-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 KENTUCKY AVE",
"address_2": "SUITE 102",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420033818",
"telephone_number": "270-442-3539",
"fax_number": "270-442-2051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY GROUP OF PADUCAH, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "SPICER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-442-3539",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "0152170001",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.