Urologic Surgery, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

OS003582L Issued in PA

Legal business name

UROLOGIC SURGERY, PC

Practice address

301 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1734

Phone

(610) 667-3020

Fax

(610) 667-1817

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Nancy Miller

Title

Offce Manager

Phone

(610) 667-3021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619972965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041734",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041734",
            "telephone_number": "610-667-3020",
            "fax_number": "610-667-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFCE MANAGER",
        "authorized_official_telephone_number": "610-667-3021"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "OS003582L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011960660005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.