Citrus Urology Associates P a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

10D1018775 Issued in FL

Legal business name

CITRUS UROLOGY ASSOCIATES P A

Practice address

1210 Waterman Way
Tavares, FL 32778-5229

Phone

(352) 742-2201

Fax

(352) 742-2226

NPI assigned

Feb 7, 2006

Last updated

Aug 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles K Cartwright, M.D.

Title

Director

Phone

(352) 742-2201

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Citrus Urology Associates P a3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Citrus Urology Associates P a

  • Urology Physician
  • Inverness, FL
  • NPI 1033181615
  NPD tax ID
• Citrus Urology Associates P a

  • Urology Physician
  • Homosassa, FL
  • NPI 1821060401
  NPD tax ID

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1619949294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785229",
            "telephone_number": "352-742-2201",
            "fax_number": "352-742-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785229",
            "telephone_number": "352-742-2201",
            "fax_number": "352-742-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS UROLOGY ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-742-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "10D1018775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4769",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0604763000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "98224",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children's Home Society of Florida
• Francis Gilbert Christian, M.D
• Regina Leigh Christian, PA-C
• Rosemary A Cirelli, MD
• Citrus Blossom Behavior LLC
• Gloria Clark, LMHC
• Roena Jane Claunch, MS,RD, LD/N
• Heather Clendinen, ST
• Michael Clenshaw
• Mark Anthony Coates

• Urology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.