Active NPI
Urologic Physicians & Surgeons Inc.
- Urology Physician
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGIC PHYSICIANS & SURGEONS INC.
- Practice address
- 2145 N Fairfield Rd
Suite B
Beavercreek, OH 45431-2580 - Phone
- (937) 429-7352
- Fax
- (937) 429-3772
- NPI assigned
- Jul 12, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack R Pence II, MD
- Title
- President
- Phone
- (937) 429-7352
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OH | Primary |
Addresses
Primary practice location
2145 N Fairfield Rd
Suite B
Beavercreek, OH 45431-2580
Mailing address
2145 N Fairfield Rd
Suite B
Beavercreek, OH 45431-2580
Phone (937) 429-7352
National Provider Directory
National Provider DirectoryLocations
2145 N Fairfield Rd
Ste B
Beavercreek, OH 45431
Phone (937) 208-2540
4940 Cottonville Rd
Ste 600
Jamestown, OH 45335
Phone (937) 435-4263
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.
-
- Urology Physician
- Beavercreek, OH
- NPI 1851399414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1528066602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 N FAIRFIELD RD",
"address_2": "SUITE B",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312580",
"telephone_number": "937-429-7352",
"fax_number": "937-429-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 N FAIRFIELD RD",
"address_2": "SUITE B",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454312580",
"telephone_number": "937-429-7352",
"fax_number": "937-429-3772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGIC PHYSICIANS & SURGEONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PENCE",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-429-7352",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.