Organization Active NPI

Clinical Urology, Inc

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1346320652
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11232 Issued in OK
Legal business name
CLINICAL UROLOGY, INC
Practice address
4200 S. Douglas Ave.
Ste. 300
Oklahoma City, OK 73109
Phone
(405) 634-7727
Fax
(405) 634-7844
NPI assigned
Oct 17, 2006
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Philip Mosca, MDNPI 1598768715
Title
President
Phone
(405) 634-7727

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 11232 OK Primary

Addresses

Primary practice location

4200 S. Douglas Ave.
Ste. 300
Oklahoma City, OK 73109

Mailing address

4200 S. Douglas Ave.
Ste. 300
Oklahoma City, OK 73109
Phone (405) 634-7727

National Provider Directory

National Provider Directory

Locations

4200 S Douglas Ave
Ste 300
Oklahoma City, OK 73109
Phone (405) 634-7727

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1346320652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S. DOUGLAS AVE.",
            "address_2": "STE. 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73109",
            "telephone_number": "405-634-7727",
            "fax_number": "405-634-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S. DOUGLAS AVE.",
            "address_2": "STE. 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73109",
            "telephone_number": "405-634-7727",
            "fax_number": "405-634-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL UROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "MOSCA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-634-7727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.