Urology Specialists, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

50002969A Issued in IN

Legal business name

UROLOGY SPECIALISTS, P.C.

Practice address

105 N 2ND Ave
Princeton, IN 47670-1005

Phone

(812) 385-5820

Fax

(812) 882-2706

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William R Vaughn, M.D.

Title

President

Phone

(812) 882-4320

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Doctors Clinic Other name

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc10927_urologyspecialistshuntsville

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1366597775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH SIXTH STREET",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "47591",
            "telephone_number": "812-882-4320",
            "fax_number": "812-882-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 2ND AVE",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701005",
            "telephone_number": "812-385-5820",
            "fax_number": "812-882-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-882-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IN",
            "license": "50002969A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Urology Physician in Princeton, IN
• Providers in Princeton, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.