NPIMap

Organization Active NPI

Adult & Pediatric Urology

  • Urology Physician
  • Sartell, MN
National Provider Identifier
1477587376
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADULT & PEDIATRIC UROLOGY
Practice address
2351 Connecticut Avenue South
Suite 200
Sartell, MN 56377-2011
Phone
(320) 259-1411
NPI assigned
Jul 10, 2006
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Dr. Jerome P Keating, MDNPI 1750325429
Title
Medical Doctor
Phone
(320) 259-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2351 Connecticut Avenue South
Suite 200
Sartell, MN 56377-2011

Mailing address

2351 Connecticut Avenue South
Suite 200
Sartell, MN 56377-2011
Phone (320) 259-1411

National Provider Directory

National Provider Directory

Locations

1700 Highway 25 N
Ste 120
Buffalo, MN 55313
Phone (763) 682-2268

1555 Northway Dr
#230
Saint Cloud, MN 56303
Phone (320) 259-1411

1555 Northway Dr
Ste 230
Saint Cloud, MN 56303
Phone (320) 259-1411

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1477587376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 CONNECTICUT AVENUE SOUTH",
            "address_2": "SUITE 200",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772011",
            "telephone_number": "320-259-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 CONNECTICUT AVENUE SOUTH",
            "address_2": "SUITE 200",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772011",
            "telephone_number": "320-259-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "320-259-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.