NPIMap

Organization Active NPI

Urology Associates Facility

  • Ambulatory Surgical Clinic/Center
  • Mansfield, OH
National Provider Identifier
1487988671
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UROLOGY ASSOCIATES FACILITY
Practice address
675 Bally Row
Mansfield, OH 44906-2967
Phone
(419) 756-4999
Fax
(419) 756-4949
NPI assigned
Sep 22, 2009
Last updated
Sep 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Stjepan Gardilcic, M.D.NPI 1245261015
Title
Medical Director
Phone
(419) 756-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

675 Bally Row
Mansfield, OH 44906-2967

Mailing address

675 Bally Row
Mansfield, OH 44906-2967
Phone (419) 756-4999

Other names 1

  • Medical Information Technology Consultants Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Medical Information Technology Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1487988671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BALLY ROW",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062967",
            "telephone_number": "419-756-4999",
            "fax_number": "419-756-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BALLY ROW",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062967",
            "telephone_number": "419-756-4999",
            "fax_number": "419-756-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "GARDILCIC",
        "authorized_official_first_name": "STJEPAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "419-756-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Information Technology Consultants",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.