Active NPI
Southeastern Pennsylvania Urologic Surgery, P.C.
- Urology Physician
- West Grove, PA
National Provider Identifier
1376723643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SOUTHEASTERN PENNSYLVANIA UROLOGIC SURGERY, P.C.
- Practice address
- 1011 W Baltimore Pike
Ste 312
West Grove, PA 19390-9446 - Phone
- (510) 869-6851
- NPI assigned
- Nov 5, 2007
- Last updated
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Chiusano, M.D.
- Title
- Owner
- Phone
- (610) 869-6851
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1011 W Baltimore Pike
Ste 312
West Grove, PA 19390-9446
Mailing address
1011 W Baltimore Pike
Ste 312
West Grove, PA 19390-9446
Phone (510) 869-6851
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Urology Physician
- West Grove, PA
- NPI 1366415150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1376723643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W BALTIMORE PIKE",
"address_2": "STE 312",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909446",
"telephone_number": "510-869-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W BALTIMORE PIKE",
"address_2": "STE 312",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909446",
"telephone_number": "510-869-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN PENNSYLVANIA UROLOGIC SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "CHIUSANO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-869-6851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.