Urology Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

UROLOGY CLINIC, LLC

Practice address

215 Medical Park Dr
Suite 2
Andalusia, AL 36420-5311

Phone

(334) 427-7218

Fax

(334) 427-4999

NPI assigned

Apr 18, 2006

Last updated

Aug 22, 2020By 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

Wendy Weaver

Title

Office Manager

Phone

(334) 427-7218

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Alexandru E Benet, M.D.

  • Specialist
  • Andalusia, AL
  • NPI 1033114269
  NPD (past)
• James S Goodlet Jr., M.D.

  • Urology Physician
  • Marietta, GA
  • NPI 1225033442
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417912957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205311",
            "telephone_number": "334-427-7218",
            "fax_number": "334-427-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MEDICAL PARK DR",
            "address_2": "SUITE 2",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205311",
            "telephone_number": "334-427-7218",
            "fax_number": "334-427-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-427-7218"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Notch Chiropractic, PLLC
• Three Notch Medical Center, PC
• James H Tillman Jr., O.D.
• Charles Gary Tomberlin, MD
• Urology Clinic of South Alabama, LLC
• Jacqueline Hope Veasey
• Stella Louise Vinson, NP
• Denese Volet, MA, LPC, CART
• Rebecca Vollmer
• Vyas & Vyas MD PC

• Specialist in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Specialist in Alabama

• 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.