Urology Clinic of Tangipahoa

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD03442R Issued in LA

Legal business name

UROLOGY CLINIC OF TANGIPAHOA

Practice address

2101 Robin Ave
Suite 1
Hammond, LA 70403-5772

Phone

(985) 542-7766

Fax

(985) 542-1754

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Vincent Kidd III, M.D.

Title

Owner

Phone

(985) 542-7766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1568634863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 1",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-542-7766",
            "fax_number": "985-542-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 1",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-542-7766",
            "fax_number": "985-542-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CLINIC OF TANGIPAHOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-542-7766",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "MD03442R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Uba
• Unique Visions Home Care LLC
• United Medical Healthcare Inc
• Universal Behavioral Health Hospital Inc
• Urology Clinic of Tangipahoa
• Hugo Arturo Valdes, M.D.
• Jonathan Paul Vales, DPT
• Reen Mary Varghese, DO
• Natasha Varnado
• Peggy Robertson Varnado, CST,CFA

• Urology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Urology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.