NPIMap

Organization Active NPI

Medical Plaza Urology Associates

  • Urology Physician
  • Jonesboro, AR
National Provider Identifier
1396717534
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MEDICAL PLAZA UROLOGY ASSOCIATES
Practice address
303 E Matthews Ave
Suite 200
Jonesboro, AR 72401-3150
Phone
(870) 932-2926
Fax
(870) 932-1560
NPI assigned
Feb 2, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Ladd J Scriber, M.D.NPI 1467424580
Title
Partner/President
Phone
(870) 932-2926

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

303 E Matthews Ave
Suite 200
Jonesboro, AR 72401-3150

Mailing address

PO Box 1513
Jonesboro, AR 72403-1513
Phone (870) 932-2926

Other identifiers 2

IdentifierTypeStateIssuer
CH0852OtherARRAILROAD MEDICARE
101735002MedicaidAR

National Provider Directory

National Provider Directory

Locations

303 E Matthews Ave
Ste 200
Jonesboro, AR 72401
Phone (870) 206-2012

Interoperability endpoints

  • Direct secure messaging: josephkueter@mpua.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1396717534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031513",
            "telephone_number": "870-932-2926",
            "fax_number": "870-932-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE",
            "address_2": "SUITE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013150",
            "telephone_number": "870-932-2926",
            "fax_number": "870-932-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "SCRIBER",
        "authorized_official_first_name": "LADD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "870-932-2926",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0852",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101735002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.