Organization Active NPI

Pulaski Urology, LLC

  • Urology Physician
  • Pulaski, VA
National Provider Identifier
1457393852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PULASKI UROLOGY, LLC
Practice address
2460 Lee Hwy N
Suite 5
Pulaski, VA 24301-2335
Phone
(540) 980-3914
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Smith
Title
VP
Phone
(540) 980-3914

Specialties & licenses 1

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

Addresses

Primary practice location

2460 Lee Hwy N
Suite 5
Pulaski, VA 24301-2335

Mailing address

2460 Lee Hwy N
Suite 5
Pulaski, VA 24301-2335
Phone (540) 980-3914

National Provider Directory

National Provider Directory

Locations

2460 Lee Hwy N
Ste 5
Pulaski, VA 24301
Phone (540) 980-3914

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457393852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEE HWY N",
            "address_2": "SUITE 5",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012335",
            "telephone_number": "540-980-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEE HWY N",
            "address_2": "SUITE 5",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012335",
            "telephone_number": "540-980-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "540-980-3914"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

  • 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.