NPIMap

Organization Active NPI

Wabash Valley Urological Assoc Inc

  • Specialist
  • Terre Haute, IN
National Provider Identifier
1316958549
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WABASH VALLEY UROLOGICAL ASSOC INC
Practice address
1235 Ohio Street
Terre Haute, IN 47807
Phone
(812) 232-9596
NPI assigned
Aug 11, 2006
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Bharat G Dave, MDNPI 1669584793
Title
Vice President
Phone
(812) 232-9596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IN Primary

Addresses

Primary practice location

1235 Ohio Street
Terre Haute, IN 47807

Mailing address

1235 Ohio Street
Terre Haute, IN 47807
Phone (812) 232-9596

Other identifiers 1

IdentifierTypeStateIssuer
100250050AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1316958549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 OHIO STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-232-9596",
            "fax_number": "812-232-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 OHIO STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-232-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH VALLEY UROLOGICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "812-232-9596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.