Delaware County Urological Associates, LTD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DELAWARE COUNTY UROLOGICAL ASSOCIATES, LTD

Practice address

1 Medical Center Blvd
Ste 102
Upland, PA 19013-3995

Phone

(610) 874-6580

Fax

(610) 874-5504

NPI assigned

Dec 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. Samuel J Hirsh, MD

Title

President

Phone

(610) 874-6580

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1407919376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "STE 102",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-874-6580",
            "fax_number": "610-874-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "STE 102",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-874-6580",
            "fax_number": "610-874-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY UROLOGICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "HIRSH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-874-6580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872255",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "016921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0031111000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Cuesta, CRNA
• John A. Daller, MD, PHD
• Leamon L. Davenport, DO
• Christina Davidyock, CRNP
• Tina Marie Deangelis, EDE, OTR/L
• Sharon T. Denny, M.D.
• Lisa Deppen, CRNA
• Denise Diprimio Kalman, DO
• Robert Ditrolio, DO
• Deborah Ann Dix, CRNP

• Urology Physician in Upland, PA
• Providers in Upland, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.