Urological Center, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

UROLOGICAL CENTER, INC

Practice address

1902 Tamarack Rd
Newark, OH 43055-2303

Phone

(740) 344-1516

Fax

(740) 344-3514

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Brooke Back

Title

Office Manager

Phone

(740) 344-1516

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1548449903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-344-1516",
            "fax_number": "740-344-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-344-1516",
            "fax_number": "740-344-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BACK",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-344-1516"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114316",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI8197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Turk, COTA/L
• Liliana Turner
• Twelve Partners Group, LLC
• Ori Tzuk, MD
• Anne M Underwood
• Latha Urs, MD
• Petter Andre Vaagenes, DO
• Sarah Van Runkle
• Jeannie I Vance
• Kari Marie Vance, NP-C

• Exclusive Provider Organization in Newark, OH
• Providers in Newark, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.