Active NPI
Allied Urology Inc
- Urology Physician
- Sidney, OH
National Provider Identifier
1598082364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 34009725
- Legal business name
- ALLIED UROLOGY INC
- Practice address
- 1025 Fair Rd
Sidney, OH 45365-8947 - Phone
- (937) 710-4510
- Fax
- (937) 710-4776
- NPI assigned
- May 3, 2010
- 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
- Francis N Ogbolu, DO
- Title
- Owner
- Phone
- (937) 710-4510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 34009725 | OH | Primary |
Addresses
Primary practice location
1025 Fair Rd
Sidney, OH 45365-8947
Mailing address
PO Box 537
Sidney, OH 45365-0537
Phone (937) 710-4510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2244771 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100603000502 | OH | Part B Supplier - Clinic/Group Practice | 1850420688 |
Receives reassigned benefits from 1 practitioner Practice locations: Piqua, OH; Vandalia, OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282608000000",
"number": "1598082364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453650537",
"telephone_number": "937-710-4510",
"fax_number": "937-710-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 FAIR RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658947",
"telephone_number": "937-710-4510",
"fax_number": "937-710-4776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIED UROLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-03",
"last_updated": "2010-08-24",
"status": "A",
"authorized_official_last_name": "OGBOLU",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-710-4510",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "OH",
"license": "34009725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2244771",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.