Organization Active NPI

Tarek Pacha

Doing business as Tricounty Urology

  • Urology Physician
  • Talladega, AL
National Provider Identifier
1326390352
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TAREK PACHA
Doing business as
Tricounty Urology
Practice address
320 Coosa St E
Talladega, AL 35160-2276
Phone
(256) 362-3636
NPI assigned
Oct 15, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Tarek R. Pacha, D.O.NPI 1093908568
Title
President
Phone
(256) 245-2269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

320 Coosa St E
Talladega, AL 35160-2276

Mailing address

16 S Douglas Ave
Sylacauga, AL 35150-2951

Other names 1

  • Tricounty Urology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1326390352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S DOUGLAS AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 COOSA ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602276",
            "telephone_number": "256-362-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK PACHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "PACHA",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-245-2269",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tricounty Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Talladega, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.