Urological Surgery Associates PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGICAL SURGERY ASSOCIATES PLLC

Practice address

294 E Layfair Dr
Flowood, MS 39232-9526

Phone

(601) 936-4645

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Condon, M.D.

Title

Owner

Phone

(601) 936-4645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urology Associates of Ms. Doing business as

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1629159587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329526",
            "telephone_number": "601-936-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329526",
            "telephone_number": "601-936-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SURGERY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-936-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9014795",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates of Ms.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Bairnsfather Upton, PTA
• Mary Upton, P.T.
• Urogyn Diagnostics LLC
• Urogyn Surgery LLC
• Urogynecology Associates, LLC
• Jan Marie Valenti, PMHNP-BC
• Ricardo T Valle, DDS
• Gregory Alan Vance, M.D.
• Meredith Taylor Vance, PHARMD
• Stephanie Vance, LPC

• Urology Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.