Progressive Urology, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01045023 Issued in IN

Legal business name

PROGRESSIVE UROLOGY, PC

Practice address

1505 State St
La Porte, IN 46350-3115

Phone

(219) 324-3120

Fax

(219) 362-3743

NPI assigned

Nov 10, 2007

Last updated

Nov 10, 2007By 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

Dr. Carey Bernard Ransone, M.D.

Title

President

Phone

(219) 324-3120

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194652800000",
    "number": "1417137167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503115",
            "telephone_number": "219-324-3120",
            "fax_number": "219-362-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503115",
            "telephone_number": "219-324-3120",
            "fax_number": "219-362-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A",
        "authorized_official_last_name": "RANSONE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-324-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01045023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200091080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in La Porte, IN
• Providers in La Porte, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; 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.