Urology Associates of South Bend, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0323020001 Issued in IN

Legal business name

UROLOGY ASSOCIATES OF SOUTH BEND, PC

Practice address

707 Cedar St
Suite #450
South Bend, IN 46617-2054

Phone

(574) 234-4100

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Philip Depauw, M.D.NPI 1548265622

Title

President

Phone

(574) 234-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arthur Philip Depauw, M.D.

  • Urology Physician
  • South Bend, IN
  • NPI 1548265622
  NPD (past) Authorized official
• Scott Alan Blickensderfer, D.O.

  • Urology Physician
  • South Bend, IN
  • NPI 1578568572
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386609527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CEDAR ST",
            "address_2": "SUITE #450",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172054",
            "telephone_number": "574-234-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CEDAR ST",
            "address_2": "SUITE #450",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172054",
            "telephone_number": "574-234-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF SOUTH BEND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPAUW",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-234-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "0323020001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC LICENSE",
            "identifier": "0323020001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University Commons Pharmacy
• University Park Dental Associates
• University Park Family Dentistry, LLC
• Marie E Unruh, MD
• Urology Associates of South Bend, PC
• Uthman Cavallo, MD, LLC
• V. Thomas Mawhinney, PH.D., Inc.
• Mauricio Vaca Pierola
• Dominic Vachon, PHD.
• Mary Jane Vachon, LCSW

• Durable Medical Equipment & Medical Supplies in South Bend, IN
• Providers in South Bend, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.