Gulfstream Urology Associates PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME88543 Issued in FL

Legal business name

GULFSTREAM UROLOGY ASSOCIATES PA

Practice address

579 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1622

Phone

(772) 465-2020

Fax

(772) 465-2111

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Adam J Ball, M.D.NPI 1366438517

Title

President

Phone

(772) 465-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Adam J Ball, M.D.

  • Urology Physician
  • Port St Lucie, FL
  • NPI 1366438517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437145653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-465-2020",
            "fax_number": "772-465-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-465-2020",
            "fax_number": "772-465-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFSTREAM UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-465-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME88543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Guerrero Asin
• Glory Ivelisse Guerrero, ARNP
• Georges C. Guerrier, M.D.
• Morgan Elizabeth Guidry
• Ramy Guirguis
• Brittany Marie Gutierrez
• Pilar Gutierrez
• Laura Tatiana Guzman Quintero
• Kelly Habyan, BA
• Kelly Hadley, PT

• Urology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.