Advanced Urology Associates, LLC
Organization Active NPI Urology Physician · Westminster, MD
NPI 1497053045 · NPPES record last updated Mar 8, 2011
Key facts
- NPI
- 1497053045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ADVANCED UROLOGY ASSOCIATES, LLC
- Practice address
- 193 Stoner Ave
Suite 310
Westminster, MD 21157-5587 - Phone
- (410) 751-2363
- Fax
- (410) 751-2338
- NPI assigned
- Mar 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Barbara Ann Matthews
- Title
- Billing Mananger
- Phone
- (410) 751-2363
Practitioners 3
-
Edward K Leventhal, M.D.
-
Michael H Kane, M.D.
-
Keith J Oreilly, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | MD | Yes |
Addresses
Primary practice location
193 Stoner Ave
Suite 310
Westminster, MD 21157-5587
Mailing address
193 Stoner Ave
Suite 310
Westminster, MD 21157-5587
Phone (410) 751-2363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 786602000 | Medicaid | MD |
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- Advanced Vascular Management, LLC
- Affiliated Sante Group
- Esther Agajelu
- Joyclyn R Agatone
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All providers in Westminster, MD · Urology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.