NPIMap

Organization Active NPI

Metro Golden Medical, LLC

Doing business as Uroguidance, LLC

  • Specialist
  • Oakwood, OH
National Provider Identifier
1649329368
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35073039 Issued in OH
Legal business name
METRO GOLDEN MEDICAL, LLC
Doing business as
Uroguidance, LLC
Practice address
414 Oakwood Ave
Oakwood, OH 45409-2217
Phone
(937) 548-3063
NPI assigned
Jan 10, 2007
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Raymond S Russell, MDNPI 1447206933
Title
Owner
Phone
(937) 367-4637

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35073039 OH Primary

Addresses

Primary practice location

414 Oakwood Ave
Oakwood, OH 45409-2217

Mailing address

PO Box 932746
Cleveland, OH 44193-2746
Phone (937) 548-3063

Other names 1

  • Uroguidance, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060424000681 OH Part B Supplier - Clinic/Group Practice 7911917737 Receives reassigned benefits from 19 practitioners
Practice locations: Oakwood, OH; Kettering, OH

National Provider Directory

National Provider Directory

Locations

450 Oak Rdg Blvd
Cleveland, OH 44193

4830 Salem Ave
Dayton, OH 45416
Phone (937) 278-2692

3445 S Dixie Dr
Moraine, OH 45439
Phone (937) 534-0155

510 Buckeye Ave
Sidney, OH 45365
Phone (937) 492-3171

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1649329368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932746",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441932746",
            "telephone_number": "937-548-3063",
            "fax_number": "937-548-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OAKWOOD AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454092217",
            "telephone_number": "937-548-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO GOLDEN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-367-4637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35073039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uroguidance, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.

Verify at the official NPI Registry.