Clinical Urology, Inc

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

Organization subpart

No

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

Authorized official

Name

Philip Mosca, MD

Title

President

Phone

(405) 634-7727

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinica Familiar LLC
• Clinica Family Health LLC
• Clinical Counseling Services
• Clinical Pharmacists LLC
• Clinical Radiology of Oklahoma
• Clinilogic LLC
• Clinilogic LLC
• Daniel Clayton Clinkenbeard, MD
• Clint Pitt, D.D.S., P.C.
• Clinton a. Winslow MD, Inc

• All providers in Oklahoma City, OK
• Specialist in Oklahoma

• 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.