Pediatric and Adolescent Urology Institute

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35080080 Issued in OH

Legal business name

PEDIATRIC AND ADOLESCENT UROLOGY INSTITUTE

Practice address

14100 Cedar Road
Suite 280
University Heights, OH 44121

Phone

(216) 292-2111

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey Palmer, M.D.

Title

Owner

Phone

(216) 292-2111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1538419833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 CEDAR ROAD",
            "address_2": "SUITE 280",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-292-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 CEDAR ROAD",
            "address_2": "SUITE 280",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-292-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT UROLOGY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-292-2111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35080080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Wayne Orr Jr., D.D.S.
• Marlon L Owens
• Stacey Cherie Parries, LPN
• Anand Pathak, M.D./PHD
• Chaquelya Patterson
• Stephanie Phipps
• Crystal Rose Pickus, LSW
• Noam Pizem
• Anthony R Pizzuti, PC, NCC
• Planet Medical Transportation LLC

• Urology Physician in University Heights, OH
• Providers in University Heights, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.