Southeast Urology Network PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHEAST UROLOGY NETWORK PC

Practice address

7420 Guthrie Dr N
Ste. 111
Southaven, MS 38671-5876

Phone

(662) 349-2220

Fax

(662) 349-4414

NPI assigned

Jan 28, 2007

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Michael Alabaster, M.D.NPI 1295840510

Title

President

Phone

(901) 527-7100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southeast Urology Network PC

  • Urology Physician
  • Memphis, TN
  • NPI 1184770356

  3779501390

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southeast Urology Network

  • Specialist
  • Holly Springs, MS
  • NPI 1801938634

  O20051102000835

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeast Urology Network PC

  • Urology Physician
  • Memphis, TN
  • NPI 1184770356
  NPD tax ID

Locations

Practitioners 5

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.

• Ashley Marissa Craddock, FNP

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851780597
  Medicare reassignment NPD
• Gerald Triminh Huy Dang, M.D.

  • Urology Physician
  • Memphis, TN
  • NPI 1992908297

  MS

  Medicare reassignment NPD
• Robert Alfred Donato, M.D.

  • Urology Physician
  • Memphis, TN
  • NPI 1710945860

  MS

  Medicare reassignment NPD
• Mark Jay Saslawsky, M.D.

  • Urology Physician
  • Memphis, TN
  • NPI 1184739401

  MS

  Medicare reassignment NPD
• Alan Michael Alabaster, M.D.

  • Urology Physician
  • Memphis, TN
  • NPI 1295840510
  Authorized official Same address or phone

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1376699546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 756",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381010756",
            "telephone_number": "901-527-7100",
            "fax_number": "901-527-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 GUTHRIE DR N",
            "address_2": "STE. 111",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715876",
            "telephone_number": "662-349-2220",
            "fax_number": "662-349-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST UROLOGY NETWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ALABASTER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-527-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.