Active NPI
Yorktowne Urology, PC
- Specialist
- York, PA
National Provider Identifier
1649357278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- YORKTOWNE UROLOGY, PC
- Practice address
- 2350 Freedom Way
Suite 102
York, PA 17402 - Phone
- (717) 741-9536
- Fax
- (717) 741-5509
- NPI assigned
- Nov 1, 2006
- 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
- Mrs. Carolyn S Roggenbaum
- Title
- Practice Manager
- Phone
- (717) 741-9536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2350 Freedom Way
Suite 102
York, PA 17402
Mailing address
2350 Freedom Way
Suite 102
York, PA 17402
Phone (717) 741-9536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02502300 | Other | PA | CAPITAL BLUECROSS GROUP |
| 1007713350010 | Medicaid | PA | |
| 664700 | Other | PA | HIGHMARK BLUESHIELD GROUP |
National Provider Directory
National Provider DirectoryLocations
100 Kestrel Dr
Ste E
Collegeville, PA 19426
Phone (610) 831-5354
2350 Freedom Way
Ste 102
York, PA 17402
Phone (717) 741-9536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1649357278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 102",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-9536",
"fax_number": "717-741-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 102",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-741-9536",
"fax_number": "717-741-5509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORKTOWNE UROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2011-09-29",
"status": "A",
"authorized_official_last_name": "ROGGENBAUM",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "717-741-9536",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS GROUP",
"identifier": "02502300",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007713350010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD GROUP",
"identifier": "664700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
- Yorkshire Dental Group LLC
- Yorkshire Dental,PLLC
- Yorktown Dental Care PLLC
- Yorktowne Chiropractic Health Centre
- Yorktowne Psychological Services
- Yorktowne Urology, PC
- Yorlan Psychological Associates, LLC
- Young Men's Christian Association of York and York County Pennsylvania
- Abigail Michal Young, CRNP
- Jill Young
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.